Individual
BRENDA M HAUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED SPECIALIST
Contact information
Practice address
2812 17TH AVE S STE E, GRAND FORKS, ND 58201-4048
(701) 746-8421
(701) 746-4719
Mailing address
2812 17TH AVE S STE E, GRAND FORKS, ND 58201-4048
(701) 746-8421
(701) 746-4719
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
2212
MN
Other
Enumeration date
01/05/2007
Last updated
03/25/2010
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