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1336821081
MATT BAKKEN
FARGO, ND
NPI
1336821081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist Orthopedic
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
MATT BAKKEN
1461 BROADWAY N
FARGO, ND 58102-2622
Phone number: 701-293-6037
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Mailing Address
MATT BAKKEN
2620 41ST ST S APT 310
FARGO, ND 58104-9161
Phone number:
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