Individual
KAITLYN JANE PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
509 GARDEN AVE NW, WEST FARGO, ND 58078-1109
(701) 200-3673
Mailing address
509 GARDEN AVE NW, WEST FARGO, ND 58078-1109
(701) 200-3673
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23-1063-I
ND
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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