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1386092203
SHASTA MANDAN
NEW TOWN, ND
NPI
1386092203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WD0400X Registered Nurse, Diabetes Educator
(Licence: ND R29464)
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
-- SHASTA MANDAN R.N., C.D.E.
1058 COLLEGE DR
NEW TOWN, ND 58763-9112
Phone number: 701-627-7931
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Mailing Address
-- SHASTA MANDAN R.N., C.D.E.
1058 COLLEGE DR
NEW TOWN, ND 58763-9112
Phone number: 701-627-7931
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