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1306126255
KELLY JEAN STAUSS CARLSON
GRAND FORKS, ND
NPI
1306126255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ND R28140)
Enumeration Date
2011-08-24
Last Update Date
2012-10-25
Business Address
KELLY JEAN STAUSS CARLSON NP-C
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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Mailing Address
KELLY JEAN STAUSS CARLSON NP-C
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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