DONNA ELLENSON

FARGO, ND
NPI1912200585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ND  PAC0198)
Enumeration Date2010-12-21
Last Update Date2010-12-21
Business Address
DONNA ELLENSON PA
737 BROADWAY N
FARGO, ND 58102-4421
Phone number: 701-234-2251
Mailing Address
DONNA ELLENSON PA
PO BOX 2010
FARGO, ND 58122-0001
Phone number: 701-234-2251
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