Individual
BRIANNA LYNN STRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 340-9641
Mailing address
4993 55TH ST S, FARGO, ND 58104-3313
(701) 340-9641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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