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1659774214
CHARLOTTE UNDERDAHL
FARGO, ND
NPI
1659774214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ND 317)
Enumeration Date
2014-09-26
Last Update Date
2014-09-26
Business Address
-- CHARLOTTE UNDERDAHL
2301 25TH ST S
FARGO, ND 58103-6104
Phone number: 701-234-8730
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Mailing Address
-- CHARLOTTE UNDERDAHL
2301 25TH ST S
FARGO, ND 58103-6104
Phone number: 701-234-8730
Copy
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