KATHY DETKE

GRAND FORKS, ND
NPI1720034622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: ND  R18078)
Enumeration Date2006-05-25
Last Update Date2007-07-08
Business Address
KATHY DETKE NP
1451 44TH AVE S
GRAND FORKS, ND 58201-3434
Phone number: 701-738-2004
Mailing Address
KATHY DETKE NP
1451 44TH AVE S
GRAND FORKS, ND 58201-3434
Phone number: 701-738-2004
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