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Individual

ROBERT J THIBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CHW

Contact information

Practice address
15855 MAIN AVE, RED LAKE, MN 56671
(218) 679-3228
Mailing address
403 5TH ST NW, STE 120, BEMIDJI, MN 56601
(218) 444-8876

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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