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1134769979
PAUL PETERSON
FARGO, ND
NPI
1134769979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
PAUL PETERSON
4314 45TH ST N
FARGO, ND 58102-6915
Phone number: 701-850-9229
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Mailing Address
PAUL PETERSON
4314 45TH ST N
FARGO, ND 58102-6915
Phone number: 701-850-9229
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