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1104045202
RETINA ASSOCIATES PC
FARGO, ND
NPI
1104045202
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Entity Type
Organization
Authorized Contact
GARY DONALD HAYNIE
President
701-277-4699
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ND 6710)
Enumeration Date
2007-04-25
Last Update Date
2007-10-10
Business Address
RETINA ASSOCIATES PC
4642 AMBER VALLEY PKWY S
FARGO, ND 58104-8612
Phone number: 701-277-4699
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Mailing Address
RETINA ASSOCIATES PC
PO BOX 11247
FARGO, ND 58106-1247
Phone number: 701-277-4699
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