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Individual

MRS. PAMELA ANNE LEINO-MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LRD

Contact information

Practice address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
(701) 271-3346
Mailing address
PO BOX 212, HORACE, ND 58047-0212

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
372
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351800
ND
Enumeration date
10/25/2012
Last updated
10/25/2012
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