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1467884049
VASANTHA PRABBATH SOORI
FARGO, ND
NPI
1467884049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2013-08-06
Last Update Date
2016-12-14
Business Address
-- VASANTHA PRABBATH SOORI
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
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Mailing Address
-- VASANTHA PRABBATH SOORI
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
Copy
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