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1043232614
COREY L TEIGEN
FARGO, ND
NPI
1043232614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: ND 6809)
Enumeration Date
2006-07-24
Last Update Date
2012-05-02
Business Address
COREY L TEIGEN MD
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-6236
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Mailing Address
COREY L TEIGEN MD
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-6236
Copy
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