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1730863937
CAROL GRETTUM
FARGO, ND
NPI
1730863937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
224L00000X Pedorthist
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
CAROL GRETTUM CP, CPED
FARGO VA HEALTHCARE SYSTEM 2101 ELM STREET N
FARGO, ND 58102
Phone number: 701-239-3700
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Mailing Address
CAROL GRETTUM CP, CPED
360 32ND AVE W APT 602
WEST FARGO, ND 58078-2947
Phone number: 701-261-6601
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