GLENICE M CARLSON

FARGO, ND
NPI1134222797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  PAC0129)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
Mrs. GLENICE M CARLSON PAC
510 4TH ST S PRAIRIE ST JOHNS
FARGO, ND 58103
Phone number: 701-476-7239
Mailing Address
Mrs. GLENICE M CARLSON PAC
2320 124 AVE S
HORACE, ND 58047
Phone number: 701-476-7239
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