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Lorna Denise Youngbird

NPI Registration Record

Provider / OrganizationNPIDate Certified
LORNA DENISE YOUNGBIRD18418980202020-10-11
Entity TypeIndividual
Provider Name Lorna Denise Youngbird
Practice Office Address502 12TH AVE SE LOT 86
DEVILS LAKE, ND US
Practice Office Telephone7013812581
Practice Office Fax7017661870
Mailing Address502 12TH AVE SE LOT 86
DEVILS LAKE, ND 583013823 US
Business Telephone7013812581
Business Fax7017661870
HPT Codes
CodeLicense NoState
3747P1801X PRIMARY
OPI Codes

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