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Individual

MRS. LAURA JEAN TOOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2500 FAIRWAY ST, DICKINSON, ND 58601
(701) 456-4000
Mailing address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12279
ND
367500000X
Certified Registered Nurse Anesthetist
Primary
R26282
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1462855
ND
Enumeration date
02/27/2007
Last updated
07/05/2018
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