LAVONNE M CHARBONNEAU

ROLLA, ND
NPI1700867397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  PAC0002)
Enumeration Date2005-11-10
Last Update Date2010-02-18
Business Address
-- LAVONNE M CHARBONNEAU PA-C
114 3RD ST NE
ROLLA, ND 58367-7137
Phone number: 701-477-3111
Mailing Address
-- LAVONNE M CHARBONNEAU PA-C
PO BOX 699 114 NE 3RD ST
ROLLA, ND 58367-0699
Phone number: 701-477-3111
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