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1790921252
MYKELL M BARNACLE
FARGO, ND
NPI
1790921252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ND R30611)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
-- MYKELL M BARNACLE NP
1707 GOLD DR S STE 101
FARGO, ND 58103-6413
Phone number: 701-280-3191
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Mailing Address
-- MYKELL M BARNACLE NP
1707 GOLD DR S STE 101
FARGO, ND 58103-6413
Phone number: 701-280-3191
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