Individual
DUSTIN HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2101 ELM ST NE, FARGO, ND 58102
(701) 232-3241
Mailing address
2101 ELM ST NE, FARGO, ND 58102
(701) 232-3241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L14185
ND
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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