Individual
DARCI WENDEBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 S 11TH ST, APT 213, GRAND FORKS, ND 58201-7376
(907) 202-0332
Mailing address
3900 S 11TH ST, APT 213, GRAND FORKS, ND 58201-7376
(907) 202-0332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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