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Individual

COMFORT MUNGHO WENDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 S. COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-2300
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-6468

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R43919
ND
363LG0600X
Gerontology Nurse Practitioner
Primary
R43919
ND
363LP2300X
Primary Care Nurse Practitioner
R43919
ND

Other

Enumeration date
05/26/2021
Last updated
02/07/2022
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