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1285980565
STACY L KRUEGER
FARGO, ND
NPI
1285980565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ND R32343)
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
-- STACY L KRUEGER NP
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2251
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Mailing Address
-- STACY L KRUEGER NP
PO BOX 2168
FARGO, ND 58107-2168
Phone number: 701-234-2119
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