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Individual

KARLA BRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
1030 WESTWYND DR, WEST FARGO, ND 58078-2479

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R33844
ND

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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