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1477238533
MATTHEW DEWITT DAVIS
FARGO, ND
NPI
1477238533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ND PAC1010)
Enumeration Date
2023-06-16
Last Update Date
2023-07-20
Business Address
MATTHEW DEWITT DAVIS PA
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2000
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Mailing Address
MATTHEW DEWITT DAVIS PA
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-9419
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