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1013472018
HAILY DATZ
BISMARCK, ND
NPI
1013472018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND RL20013)
Enumeration Date
2019-02-04
Last Update Date
2023-07-17
Business Address
HAILY DATZ
701 E ROSSER AVE
BISMARCK, ND 58501-4457
Phone number: 701-751-9500
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Mailing Address
HAILY DATZ
701 E ROSSER AVE
BISMARCK, ND 58501-4457
Phone number: 701-751-9500
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