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1104951870
DEBRA J KELLOGG
WILLISTON, ND
NPI
1104951870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 264)
Enumeration Date
2007-02-22
Last Update Date
2007-07-09
Business Address
-- DEBRA J KELLOGG
1415 W DAKOTA PKWY
WILLISTON, ND 58801-3885
Phone number: 701-572-6757
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Mailing Address
-- DEBRA J KELLOGG
913 12TH ST SE
WATFORD CITY, ND 58854-6711
Phone number: 701-842-6226
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