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1447829155
PHILIP THOMAS KUBALL
FARGO, ND
NPI
1447829155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-06-18
Last Update Date
2022-06-14
Business Address
PHILIP THOMAS KUBALL MD
1919 ELM ST N
FARGO, ND 58102-2416
Phone number: 701-293-4113
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Mailing Address
PHILIP THOMAS KUBALL MD
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 646-929-7800
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