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Individual

SANDRA HOROB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LRD

Contact information

Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7492
(701) 774-7479
Mailing address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7492
(701) 774-7479

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
191
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13079
BLUE CROSS OF ND
ND
Enumeration date
10/12/2006
Last updated
07/08/2007
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