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Individual

LOUELLEN DUCHARME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1102 PAGE DR S, FARGO, ND 58103-2300
(651) 488-4655
Mailing address
17829 HIGHWAY 9 S, BARNESVILLE, MN 56514-9223

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R163478-9
MN
163WH0200X
Home Health Registered Nurse
Primary
R29197
ND

Other

Enumeration date
04/09/2014
Last updated
04/09/2014
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