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1477060135
ELIZABETH DEBRA MCCORMACK
FARGO, ND
NPI
1477060135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-01-03
Last Update Date
2020-07-03
Business Address
ELIZABETH DEBRA MCCORMACK ATC
818 10TH AVE N
FARGO, ND 58102-3638
Phone number: 708-603-3026
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Mailing Address
ELIZABETH DEBRA MCCORMACK ATC
818 10TH AVE N
FARGO, ND 58102-3638
Phone number: 708-603-3026
Copy
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