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1104443449
MAREN LYNN MANGARDICH
GRAND FORKS, ND
NPI
1104443449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ND R42081)
Enumeration Date
2020-07-02
Last Update Date
2023-11-30
Business Address
MAREN LYNN MANGARDICH
860 S COLUMBIA RD
GRAND FORKS, ND 58201-4028
Phone number: 701-780-5000
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Mailing Address
MAREN LYNN MANGARDICH
2401 DEMERS AVE
GRAND FORKS, ND 58201-4183
Phone number: 701-780-5000
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