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1366813057
SUSAN JULIA MORENO
BISMARCK, ND
NPI
1366813057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ND 0379)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
Mrs. SUSAN JULIA MORENO PTA
301 LORRAIN DR
BISMARCK, ND 58503-0311
Phone number: 701-255-1084
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Mailing Address
Mrs. SUSAN JULIA MORENO PTA
2235 44TH ST
MANDAN, ND 58554-8502
Phone number: 701-226-2986
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