Individual
MRS. TIFFANY DAWN GUNVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 BURDICK EXPWY. EAST, MINOT, ND 58701
(701) 839-8887
Mailing address
2000 BURDICK EXPY E, MINOT, ND 58701-5032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4065
ND
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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