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Search › North Dakota › 363A00000X

Glenice Carlson, PAC

NPI 1134222797 · on the registry since 2006

Practice

Address
510 4th St S
Prairie St Johns
Fargo, ND 58103
Phone
(701) 476-7239
Fax
(701) 280-5798
Organisation at this address
Prairie St Johns
Prairier St John'S
Psj Acquisition Llc
Psj Acquisition Llc
Prairie St. John'S, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota