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1801258280
KATIE PROTHERO
FARGO, ND
NPI
1801258280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ND R35384)
Enumeration Date
2016-03-24
Last Update Date
2016-03-24
Business Address
-- KATIE PROTHERO APRN, CNP
3902 13TH AVE S
FARGO, ND 58103-3357
Phone number: 701-364-6600
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Mailing Address
-- KATIE PROTHERO APRN, CNP
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-8000
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