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Individual

MOLLY JEAN SOEBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT, SC (ASCP), MPA

Contact information

Practice address
151 S 4TH ST, STE 302, GRAND FORKS, ND 58201-4715
(701) 780-8229
Mailing address
718 OAK ST, GRAND FORKS, ND 58201-4460
(218) 230-0070
(800) 958-7702

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
90-0456-I
ND

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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