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Individual

KATHLEEN MARIE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH

Contact information

Practice address
622 FRONT ST, CASSELTON, ND 58012-3300
(701) 347-4281
(701) 347-5275
Mailing address
PO BOX 250, CASSELTON, ND 58012-0250
(701) 347-4281
(701) 347-5275

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4278
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4278
ND STATE BOARD OF PHARMACY LIC NUMBER
ND
Enumeration date
10/14/2010
Last updated
10/14/2010
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