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1629645031
TRACI L LEITHEISER
FARGO, ND
NPI
1629645031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-06-06
Last Update Date
2021-10-13
Business Address
TRACI L LEITHEISER MPAS, PA-C
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-417-2000
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Mailing Address
TRACI L LEITHEISER MPAS, PA-C
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-312-2373
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