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Individual

MS. MICHELLE A SLETVOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSED

Contact information

Practice address
200 PULVER HALL, DICKINSON, ND 58601-4857
(701) 227-7582
(701) 227-7575
Mailing address
200 PULVER HALL, DICKINSON, ND 58601-4857
(701) 227-7582
(701) 227-7575

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
183700000X
Pharmacy Technician
514
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54523
ND
Enumeration date
12/26/2007
Last updated
12/26/2007
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