LACEY LYNN OPPERUD KONICKSON

GRAND FORKS, ND
NPI1073703690
Former NameLACEY LYNN OPPERUD PAHLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  103465)
Enumeration Date2007-07-30
Last Update Date2007-07-30
Business Address
Mrs. LACEY LYNN OPPERUD KONICKSON MOT
1200 S COLUMBIA RD
GRAND FORKS, ND 58201-4036
Phone number: 701-780-5000
Mailing Address
Mrs. LACEY LYNN OPPERUD KONICKSON MOT
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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