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1164449609
LYNN E NELLERMOE
FARGO, ND
NPI
1164449609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ND R14419)
Enumeration Date
2006-07-17
Last Update Date
2008-09-15
Business Address
LYNN E NELLERMOE CRNA
737 BROADWAY
FARGO, ND 58122-0001
Phone number: 701-234-6258
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Mailing Address
LYNN E NELLERMOE CRNA
737 BROADWAY
FARGO, ND 58122-0001
Phone number: 701-234-6258
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