Individual
AUTUMN LYNN GUILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 2ND ST SE, RUGBY, ND 58368-1801
(701) 776-5741
Mailing address
107 2ND ST SE, RUGBY, ND 58368-1801
(701) 776-5741
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TECH865
ND
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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