Individual
LESLIE A KOLTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 1ST AVE S, FARGO, ND 58103-1899
(701) 234-4036
Mailing address
700 1ST AVE S, FARGO, ND 58103-1899
(701) 234-4036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R30767
ND
Other
Enumeration date
05/26/2010
Last updated
12/01/2011
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