Individual
KATHERINE CONDOR DOCKTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 4TH AVE N, MOORHEAD, MN 56560-2473
(218) 422-7427
(218) 422-7427
Mailing address
642 17TH ST E, WEST FARGO, ND 58078-2195
(012) 698-9717
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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