Individual
MS. MARIAN K PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 4TH ST N, FARGO, ND 58102-4820
(701) 271-6391
Mailing address
210 3RD ST NE, DILWORTH, MN 56529-1225
(218) 233-8944
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
194
ND
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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