Individual
TONYA SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 UNIVERSITY DR S, FARGO, ND 58103-4169
(701) 232-8690
Mailing address
802 16TH ST S, FARGO, ND 58103-2553
(701) 866-6603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5061
ND
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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