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Individual

MRS. KARLENE ELAINE HEINZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 47TH AVE S, GRAND FORKS, ND 58201-3405
(701) 746-2230
Mailing address
2700 S 34TH ST, # 120, GRAND FORKS, ND 58201-6045
(406) 390-0261

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1144
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55746
ND
Enumeration date
03/29/2011
Last updated
11/09/2011
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