Individual
BRITTANY DUFAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 S COLUMBIA RD, GRAND FORKS, ND 58201-4039
(701) 746-8374
Mailing address
3781 RUEMMELE RD, GRAND FORKS, ND 58201-5975
(701) 739-8958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2426
MN
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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