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Search › Minnesota › 103TC1900X

Mara Erickson

NPI 1811742596 · on the registry since 2024

Practice

Address
2119 110th Ln Nw
Coon Rapids, MN 55433
Phone
(612) 456-6090
Organisation at this address
Glorious Eagles Llc
Glorious Eagles Llc
Interpath Agency Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota