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1194394502
SAMUEL BLOOMSBURG
GRAND FORKS, ND
NPI
1194394502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: ND RL17467)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
SAMUEL BLOOMSBURG
UND SMHS DEPARTMENT OF SURGERY 1301 N COLUMBIA RD, STOP 9037
GRAND FORKS, ND 58202-9037
Phone number: 701-293-4151
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Mailing Address
SAMUEL BLOOMSBURG
UND SMHS DEPARTMENT OF SURGERY 1301 N COLUMBIA RD, STOP 9037
GRAND FORKS, ND 58202-9037
Phone number: 701-293-4151
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