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1013934785
RANDALL A KENNINGER
FARGO, ND
NPI
1013934785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND 7353)
Enumeration Date
2006-07-17
Last Update Date
2011-11-21
Business Address
RANDALL A KENNINGER MD
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-8830
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Mailing Address
RANDALL A KENNINGER MD
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-8830
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