Individual
GALE S GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 PALM BEACH RD, DICKINSON, ND 58601-7302
(701) 260-2685
Mailing address
64 PALM BEACH RD, DICKINSON, ND 58601-7302
(701) 260-2685
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
10/26/2020
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