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1780425546
LAKE MEDICAL, PLLC
BOTTINEAU, ND
NPI
1780425546
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Entity Type
Organization
Authorized Contact
JANA KNUTSON
Owner
701-228-4226
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
LAKE MEDICAL, PLLC
1475 108TH ST NE
BOTTINEAU, ND 58318-8026
Phone number: 701-228-4226
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Mailing Address
LAKE MEDICAL, PLLC
1475 108TH ST NE
BOTTINEAU, ND 58318-8026
Phone number: 701-228-4226
Copy
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