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1104225580
STACY WALLIN
MINOT, ND
NPI
1104225580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner Neonatal
(Licence: ND R29613)
Enumeration Date
2014-08-21
Last Update Date
2023-12-27
Business Address
DR. STACY WALLIN DNP, APRN, NNP-BC
2305 37TH AVE SW
MINOT, ND 58701-7669
Phone number: 701-418-8000
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Mailing Address
DR. STACY WALLIN DNP, APRN, NNP-BC
PO BOX 5010
MINOT, ND 58702-5010
Phone number: 701-418-8000
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