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1306943188
FREDRIC LEE BLACK
GRAND FORKS, ND
NPI
1306943188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND 7575)
Enumeration Date
2006-09-20
Last Update Date
2007-12-28
Business Address
-- FREDRIC LEE BLACK DO
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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Mailing Address
-- FREDRIC LEE BLACK DO
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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