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1104843747
GLENN ALAN MASTEL
FARGO, ND
NPI
1104843747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND 6167)
Enumeration Date
2006-07-17
Last Update Date
2011-11-29
Business Address
GLENN ALAN MASTEL MD
2601 BROADWAY N
FARGO, ND 58102-6704
Phone number: 701-234-2900
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Mailing Address
GLENN ALAN MASTEL MD
2601 BROADWAY N
FARGO, ND 58102-6704
Phone number: 701-234-2900
Copy
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