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1548351331
DAVID R ANTONENKO
GRAND FORKS, ND
NPI
1548351331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ND 5878)
Enumeration Date
2006-09-27
Last Update Date
2007-10-22
Business Address
DAVID R ANTONENKO MD
501 N COLUMBIA RD
GRAND FORKS, ND 58202-6094
Phone number: 701-777-3067
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Mailing Address
DAVID R ANTONENKO MD
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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