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1992211437
KATIE JEAN KING
FARGO, ND
NPI
1992211437
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Former Name
KATIE JEAN BOYUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 2167)
Enumeration Date
2017-12-20
Last Update Date
2023-11-20
Business Address
KATIE JEAN KING CRNA, APRN
1720 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-234-2000
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Mailing Address
KATIE JEAN KING CRNA, APRN
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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