Individual
KAYLA CLAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3306 SHEYENNE ST STE 218, WEST FARGO, ND 58078-7211
(701) 356-7455
(701) 356-7458
Mailing address
3306 SHEYENNE ST STE 218, WEST FARGO, ND 58078-7211
(701) 356-7455
(701) 356-7458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
119828
MN
183500000X
Pharmacist
Primary
5250
ND
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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