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1316315773
ALEXIS HERZOG
FARGO, ND
NPI
1316315773
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Former Name
ALEXIS NIMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 104910)
Enumeration Date
2015-09-02
Last Update Date
2022-04-12
Business Address
ALEXIS HERZOG OTR/L
1720 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-280-4070
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Mailing Address
ALEXIS HERZOG OTR/L
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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