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Individual

MRS. VIRGINIA ANN KRAUSHAAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN

Contact information

Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2207 24TH AVE S, FARGO, ND 58103-5119
(701) 239-4352

Taxonomy

Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
R17690
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R17690
NURSING LICENSE
ND
Enumeration date
04/27/2007
Last updated
07/08/2007
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