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Individual

MS. MANDY JO HAUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3280 6TH ST E, WEST FARGO, ND 58078-5459
(701) 532-1563
Mailing address
609 SUGAR DR, ARGUSVILLE, ND 58005-9616
(701) 371-5878

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R34595
ND
363LF0000X
Family Nurse Practitioner
R34595
ND

Other

Enumeration date
10/15/2019
Last updated
06/29/2020
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