Individual
MRS. CRYSTAL MARIE KOEPPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2624 9TH AVE S, SOUTHEAST HSC, FARGO, ND 58103
(701) 298-4500
(701) 298-4400
Mailing address
2624 9TH AVE S, SOUTHEAST HSC, FARGO, ND 58103
(701) 298-4500
(701) 298-4400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R34765
ND
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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