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1568913077
JACQUELINE K MADDOCK
FARGO, ND
NPI
1568913077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 2016)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
JACQUELINE K MADDOCK PT
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-5799
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Mailing Address
JACQUELINE K MADDOCK PT
801 N BROADWAY
FARGO, ND 58122
Phone number:
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