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Individual

KIMBERLY ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 952-4787
Mailing address
9717 37TH ST SE, SPIRITWOOD, ND 58481-9532
(701) 269-4461

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
12/30/2024
Last updated
12/30/2024
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