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1073648259
ALLAN JAMES LUISTRO
MOORHEAD, MN
NPI
1073648259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 37656)
Enumeration Date
2007-02-21
Last Update Date
2012-02-22
Business Address
Dr. ALLAN JAMES LUISTRO M.D.
1104 7TH AVE S. BOX 92 MSUM HENDRIX CLINIC & COUNSELING CENTER
MOORHEAD, MN 56563
Phone number: 218-477-2211
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Mailing Address
Dr. ALLAN JAMES LUISTRO M.D.
5027 ROSE CREEK PKWY S
FARGO, ND 58104-6848
Phone number: 701-298-9024
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