GRACE ANN MCMICKEN

BISMARCK, ND
NPI1710700901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ND  1539A)
Enumeration Date2024-11-05
Last Update Date2024-11-05
Business Address
GRACE ANN MCMICKEN PTA
3921 LOCKPORT ST
BISMARCK, ND 58503-5541
Phone number: 701-751-3128
Mailing Address
GRACE ANN MCMICKEN PTA
3921 LOCKPORT ST
BISMARCK, ND 58503-5541
Phone number:
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