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Individual

TARA WATNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1401 33RD ST S, FARGO, ND 58103-3413
(701) 235-5511
Mailing address
1401 33RD ST S, FARGO, ND 58103-3413
(701) 235-5511

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5875
ND

Other

Enumeration date
07/06/2016
Last updated
04/27/2023
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