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Individual

CHELSEA ROSE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335
(701) 766-1600
(701) 766-1626
Mailing address
PO BOX 309, FORT TOTTEN, ND 58335-0309
(701) 766-1600
(701) 766-1626

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L15206
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1470084
ND
Enumeration date
06/13/2017
Last updated
06/13/2017
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