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1467807230
TESHA GUSTAFSON
KENMARE, ND
NPI
1467807230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ND 745)
Enumeration Date
2016-04-29
Last Update Date
2019-02-04
Business Address
TESHA GUSTAFSON O.D.
28 2ND ST NW
KENMARE, ND 58746-7114
Phone number: 701-385-4004
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Mailing Address
TESHA GUSTAFSON O.D.
28 2ND ST NW
KENMARE, ND 58746-7114
Phone number: 701-385-4004
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