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1346388915
MICHAEL A CANDREVA
FORT YATES, ND
NPI
1346388915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CO CO1796)
Enumeration Date
2007-02-03
Last Update Date
2018-08-17
Business Address
MICHAEL A CANDREVA OD
10 N RIVER ROAD
FORT YATES, ND 58538
Phone number: 701-854-8248
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Mailing Address
MICHAEL A CANDREVA OD
N 10 RIVER ROAD
FORT YATES, ND 58538
Phone number: 701-854-8248
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