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1801018841
KRYSTA SEVERSON
FARGO, ND
NPI
1801018841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 938)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- KRYSTA SEVERSON MS, CCC-SLP
1606 29TH AVE S
FARGO, ND 58103-5923
Phone number: 701-261-4708
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Mailing Address
-- KRYSTA SEVERSON MS, CCC-SLP
1410 21ST ST S
FARGO, ND 58103-3811
Phone number: 701-238-9433
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