Individual
MRS. VICKIE MARIE FONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 NORTH 4TH AVE, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
1209 76TH AVE S, FARGO, ND 58104
(701) 306-8142
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L5242
ND
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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