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1356431894
DONNA M WACKER
STANLEY, ND
NPI
1356431894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ND R26295)
Enumeration Date
2006-10-13
Last Update Date
2007-07-09
Business Address
Ms. DONNA M WACKER FNP-C
615 6 ST SE MOUNTRAIL COUNTY MEDICAL CENTER
STANLEY, ND 58784
Phone number: 701-628-2505
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Mailing Address
Ms. DONNA M WACKER FNP-C
1951 MAIN ST W
TURTLE LAKE, ND 58575-9661
Phone number: 701-628-2505
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