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1629099858
TRICIA M FOSSUM
FARGO, ND
NPI
1629099858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ND R25993)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
TRICIA M FOSSUM NP
737 BROADWAY N
FARGO, ND 58122-0001
Phone number: 701-234-4811
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Mailing Address
TRICIA M FOSSUM NP
737 BROADWAY
FARGO, ND 58122-0001
Phone number: 701-234-6236
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