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Individual

MRS. PETRA M BUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
207 2ND ST SW, RUGBY, ND 58368-1703
(701) 776-5757
Mailing address
2520 10TH AVE NW, MINOT, ND 58703-1755
(701) 839-8342

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1082
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019015
ND
Enumeration date
11/03/2009
Last updated
11/03/2009
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