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1982301727
WHITE LOTUS MENTAL HEALTH CLINIC PLLC
FARGO, ND
NPI
1982301727
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Entity Type
Organization
Authorized Contact
COURTNEY NAASTAD
Owner
701-203-5247
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
WHITE LOTUS MENTAL HEALTH CLINIC PLLC
3523 45TH ST S STE 100
FARGO, ND 58104-8962
Phone number: 701-203-5247
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Mailing Address
WHITE LOTUS MENTAL HEALTH CLINIC PLLC
3523 45TH ST S STE 100
FARGO, ND 58104-8962
Phone number: 701-203-5247
Copy
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