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1386286276
JUSTIN EARL ANDERSON
FARGO, ND
NPI
1386286276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 2388)
Enumeration Date
2019-10-11
Last Update Date
2023-03-30
Business Address
JUSTIN EARL ANDERSON DPT
5300 12TH ST S
FARGO, ND 58104-4034
Phone number: 701-346-0222
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Mailing Address
JUSTIN EARL ANDERSON DPT
642 12TH AVE E
WEST FARGO, ND 58078-3119
Phone number: 218-242-2845
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