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Individual

KIM CLAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4088
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0829
ND
225200000X
Physical Therapy Assistant
A1107
MN

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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