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1346330214
MICKEY G SYRQUIN
FARGO, ND
NPI
1346330214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: ND 6722)
Enumeration Date
2006-10-13
Last Update Date
2013-03-15
Business Address
MICKEY G SYRQUIN DO
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
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Mailing Address
MICKEY G SYRQUIN DO
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-8000
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