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Liberty Johnson
NPI 1922737246 · on the registry since 2022
Practice
- Address
- 1511 Highway 59 S Ste A
Thief River Falls, MN 56701 - Phone
- (218) 681-0449
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-10
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