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Elianna Gail Edwards Mack
Specialist in Moorhead, Minnesota
NPI 1316594039

Elianna Gail Edwards Mack is a Specialist based in Moorhead, MN. Elianna Gail Edwards Mack practices in Moorhead, MN. The NPI Number for Elianna Gail Edwards Mack is 1316594039 and holds a License No. (Minnesota).

The current practice location address for Elianna Gail Edwards Mack is 891 Belsly Blvd, Moorhead, MN and can be reached out via phone at 218-287-4338.

Location: 891 Belsly Blvd, Moorhead, MN, 56560-5055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316594039
Provider Name
Elianna Gail Edwards Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
891 Belsly Blvd, Moorhead, MN, 56560-5055
Phone Number
218-287-4338
Fax Number
Provider Enumeration Date
08/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
891 Belsly Blvd
City
Moorhead
State
Minnesota
Zip
56560-5055
Phone Number
218-287-4338
Fax Number
person
Provider Business Mailing Address Details
Address
891 Belsly Blvd
City
Moorhead
State
Minnesota
Zip
56560-5055
Phone Number
218-287-4338
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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