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Individual

HEATHER L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HID

Contact information

Practice address
1057 MADISON AVE, MANKATO, MN 56001-6143
(507) 386-7502
(507) 386-7584
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
MN
237700000X
Hearing Instrument Specialist
Primary
2777
MN

Other

Enumeration date
02/03/2016
Last updated
03/17/2018
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