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1154330413
FRED C GREEN
FARGO, ND
NPI
1154330413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 01357)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
DR. FRED C GREEN DO
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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Mailing Address
DR. FRED C GREEN DO
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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