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Organization

SANFORD CLINIC NORTH

Active
Other names
Sanford Health Edgewood Vista Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA K LECLERC (VP)
(701) 234-6248
Entity
Organization

Contact information

Practice address
4420 37TH AVE S, FARGO, ND 58104-3400
(701) 365-4746
Mailing address
4420 37TH AVE S, FARGO, ND 58104-3400
(701) 365-4746

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
05/11/2011
Last updated
11/27/2023
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