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1417552910
STEPHANIE JO WITTMAN
FARGO, ND
NPI
1417552910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ND 700-15)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
STEPHANIE JO WITTMAN
1300 17TH AVE NORTH
FARGO, ND 58102-5810
Phone number: 701-730-6260
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Mailing Address
STEPHANIE JO WITTMAN
1300 17TH AVE NORTH
FARGO, ND 58102
Phone number: 701-730-6260
Copy
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