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Organization

INTEGUMENTARY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN PEREZ (CEO)
(701) 890-3135
Entity
Organization

Contact information

Practice address
3120 25TH ST SW STE 348, FARGO, ND 58103-6110
(701) 890-3135
Mailing address
3120 25TH ST SW STE 348, FARGO, ND 58103-6110

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/05/2019
Last updated
02/05/2019
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