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1588974596
MELISSA VANMATRE
FARGO, ND
NPI
1588974596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ND R29312)
Enumeration Date
2010-10-13
Last Update Date
2011-05-17
Business Address
-- MELISSA VANMATRE CRNA
737 BROADWAY
FARGO, ND 58122-0001
Phone number: 701-234-6258
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Mailing Address
-- MELISSA VANMATRE CRNA
PO BOX MC
FARGO, ND 58122-0605
Phone number: 701-234-1261
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