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1538893920
KALLIE JO WENNERBERG
FARGO, ND
NPI
1538893920
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Former Name
KALLIE JO HAUGEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ND R43359)
Enumeration Date
2022-07-12
Last Update Date
2023-02-03
Business Address
KALLIE JO WENNERBERG AGNP-C
736 BROADWAY N
FARGO, ND 58102-4421
Phone number: 701-234-2000
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Mailing Address
KALLIE JO WENNERBERG AGNP-C
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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