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1174838650
DISA L.G. AWAH
MINOT, ND
NPI
1174838650
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Former Name
DISA L GRANT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ND 13345)
Enumeration Date
2010-08-09
Last Update Date
2015-02-25
Business Address
-- DISA L.G. AWAH DO
400 BURDICK EXPY E
MINOT, ND 58701-4768
Phone number: 701-857-7969
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Mailing Address
-- DISA L.G. AWAH DO
PO BOX 5010
MINOT, ND 58702-5010
Phone number: 701-857-5650
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