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Individual

LEXYS L MAZOUREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CGC

Contact information

Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
ND

Other

Enumeration date
07/01/2021
Last updated
06/30/2022
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