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Individual

BEVERLY ANN VOLLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
118 E SPRUCE AVE, LINTON, ND 58552-7104
(701) 254-4027
(701) 254-4057
Mailing address
PO BOX 636, 118 E. SPRUCE AVE, LINTON, ND 58552-0636
(701) 254-4027
(701) 254-4057

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R18866
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261QP0905X
ND
Enumeration date
11/10/2016
Last updated
11/10/2016
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