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1720034622
KATHY DETKE
GRAND FORKS, ND
NPI
1720034622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: ND r18078)
Enumeration Date
2006-05-25
Last Update Date
2007-07-08
Business Address
-- KATHY DETKE NP
1451 44TH AVE S
GRAND FORKS, ND 58201-3434
Phone number: 701-738-2004
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Mailing Address
-- KATHY DETKE NP
1451 44TH AVE S
GRAND FORKS, ND 58201-3434
Phone number: 701-738-2004
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