Individual
JOHN DAVID PANGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 PARK DR, GRAND FORKS, ND 58201-6931
(701) 215-6279
Mailing address
1015 PARK DR, GRAND FORKS, ND 58201-6931
(701) 215-6279
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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