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1568797124
ADAM MOTACEK
FARGO, ND
NPI
1568797124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ND ND704)
Enumeration Date
2009-10-14
Last Update Date
2023-12-20
Business Address
ADAM MOTACEK O.D.
1300 GATEWAY DR S
FARGO, ND 58103-3509
Phone number: 701-235-0280
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Mailing Address
ADAM MOTACEK O.D.
1400 10TH AVENUE NE APARTMENT 214
JAMESTOWN, ND 58401-2866
Phone number: 701-320-5902
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