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1104035252
TERRY LYNN DWELLE
BISMARCK, ND
NPI
1104035252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: ND 4112)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- TERRY LYNN DWELLE MD, MPHTM
805 N 5TH ST
BISMARCK, ND 58501-3908
Phone number: 701-258-1804
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Mailing Address
-- TERRY LYNN DWELLE MD, MPHTM
805 N 5TH ST
BISMARCK, ND 58501-3908
Phone number: 701-258-1804
Copy
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