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Individual

DR. CHRISTINE ANN CHRISTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 741-0150
(218) 741-7892
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2761
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098686
WI
05
1821038233
MN
01
2761
STATE LICENSE
MN
Enumeration date
06/07/2006
Last updated
02/28/2022
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