Individual
KATELYN OGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-9912
Mailing address
1401 15TH ST S, FARGO, ND 58103-3925
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH6492
ND
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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