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Individual

STEPHANIE KLABUNDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5608
Mailing address
515 23RD AVE W, WEST FARGO, ND 58078-8420
(701) 331-8973

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1492
ND

Other

Enumeration date
07/07/2016
Last updated
09/13/2016
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