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1023158458
SHANNA LORRAINE BICKNASE
FARGO, ND
NPI
1023158458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: ND 308-06)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Ms. SHANNA LORRAINE BICKNASE ATC
1301 12TH AVE N
FARGO, ND 58102-3400
Phone number: 701-231-8011
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Mailing Address
Ms. SHANNA LORRAINE BICKNASE ATC
4238 9TH AVE S APT 108
FARGO, ND 58103-2068
Phone number: 605-201-6492
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