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Individual

MRS. ALICIA MARIE WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
800 N 8TH ST, BISMARCK, ND 58501-3929
(701) 323-4800
Mailing address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 323-6140

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
506-13
ND

Other

Enumeration date
11/06/2016
Last updated
11/06/2016
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