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Individual

ALEXA PRIVRATSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-4036
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0905
ND

Other

Enumeration date
09/16/2021
Last updated
02/22/2022
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