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1427788504
SAMANTHA IMDIEKE
GRAND FORKS, ND
NPI
1427788504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 2142)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
SAMANTHA IMDIEKE M.S., CF-SLP
2401 DEMERS AVE
GRAND FORKS, ND 58201-4183
Phone number: 701-780-1891
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Mailing Address
SAMANTHA IMDIEKE M.S., CF-SLP
2401 DEMERS AVE
GRAND FORKS, ND 58201-4183
Phone number: 701-780-1891
Copy
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