Individual
MR. KENT LEIGH VANBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3084
Mailing address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3084
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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