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Individual

SUSAN MARLENE GARTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1241 100TH ST NE, BOTTINEAU, ND 58318-8203
(701) 871-2248
Mailing address
1241 100TH ST NE, BOTTINEAU, ND 58318-8203
(701) 871-2248

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
ND

Other

Enumeration date
12/28/2021
Last updated
12/28/2021
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