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1497513931
MICHAEL VILLAS
GRAND FORKS, ND
NPI
1497513931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: 1497513931)
Enumeration Date
2024-03-11
Last Update Date
2024-05-01
Business Address
MICHAEL VILLAS Physician Assistant
5627 S 11TH ST
GRAND FORKS, ND 58201-3632
Phone number: 701-330-4510
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Mailing Address
MICHAEL VILLAS Physician Assistant
5627 S 11TH ST
GRAND FORKS, ND 58201-3632
Phone number: 701-330-4510
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