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1104418979
DOUG MARTIN
BISMARCK, ND
NPI
1104418979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
DOUG MARTIN
1512 TERRITORY DR
BISMARCK, ND 58503-0172
Phone number: 701-426-0515
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Mailing Address
DOUG MARTIN
1512 TERRITORY DR
BISMARCK, ND 58503-0172
Phone number: 701-426-0515
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