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1255734414
ALEXA RISAN
FARGO, ND
NPI
1255734414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 1853)
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
-- ALEXA RISAN DPT
736 BROADWAY N
FARGO, ND 58102-4421
Phone number: 701-234-6735
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Mailing Address
-- ALEXA RISAN DPT
736 BROADWAY N
FARGO, ND 58102-4421
Phone number:
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