TERRA L PROVOST

FARGO, ND
NPI1558793034
Former NameTERRA DALLMANN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175F00000X Naturopath
(Licence: ND  2017-02)
Additional Taxonomies175F00000X Naturopath
(Licence: AZ  13-1372)
175F00000X Naturopath
(Licence: CA  ND774)
Enumeration Date2013-08-06
Last Update Date2019-09-10
Business Address
Dr. TERRA L PROVOST N.D.
1203 28TH ST S
FARGO, ND 58103-8711
Phone number: 218-303-9003
Mailing Address
Dr. TERRA L PROVOST N.D.
206 SHEYENNE DR
HORACE, ND 58047-4418
Phone number: 218-303-9003
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