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Individual

DR. MONIQUE NCHOTU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5621
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5621

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
PT13349
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT13349
MEDICAL LICENSE
Enumeration date
11/01/2009
Last updated
07/28/2014
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