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1336173871
BASEM FANOUS
CANDO, ND
NPI
1336173871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: ND 32)
Enumeration Date
2006-07-10
Last Update Date
2007-07-09
Business Address
-- BASEM FANOUS DPM
HWY 281N
CANDO, ND 58324-0688
Phone number: 701-968-2541
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Mailing Address
-- BASEM FANOUS DPM
PO BOX 688
CANDO, ND 58324-0688
Phone number: 701-968-2541
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