CAROL SOUTHAM

MANDAN, ND
NPI1124486691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: ND  R36610)
Enumeration Date2016-01-29
Last Update Date2016-01-29
Business Address
-- CAROL SOUTHAM
1200 COLLINS AVE
MANDAN, ND 58554-2066
Phone number: 701-663-5373
Mailing Address
-- CAROL SOUTHAM
1200 COLLINS AVE
MANDAN, ND 58554-2066
Phone number: 701-663-5373
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