Individual
STACY J STONER-DOCKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 237-9712
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 237-9712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
84-91/95
ND
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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