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Individual

MARY E LUNDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
204 COLLEGE DR N, DEVILS LAKE, ND 58301-2925
(701) 662-5874
Mailing address
204 COLLEGE DR N, DEVILS LAKE, ND 58301-2925
(701) 662-5874

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1209
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52224
ND
Enumeration date
11/17/2006
Last updated
07/08/2007
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