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Individual

JOHN ROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN,CNS

Contact information

Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
(701) 234-2000

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R36407
ND

Other

Enumeration date
09/02/2015
Last updated
02/16/2022
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