Individual
ANGELA CHRISTINE BRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 241-1360
Mailing address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 241-1360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L9187
ND
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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