Individual
MRS. NICOLE REYBOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 STANFORD RD, GRAND FORKS, ND 58203-2128
(701) 746-2275
Mailing address
605 STANFORD RD, GRAND FORKS, ND 58203-2128
(701) 746-2275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1055
ND
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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