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1578222113
MEREDITH MARTHA PREVOST
FARGO, ND
NPI
1578222113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 2546)
Enumeration Date
2021-12-10
Last Update Date
2024-03-01
Business Address
MEREDITH MARTHA PREVOST PT, DPT
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-7918
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Mailing Address
MEREDITH MARTHA PREVOST PT, DPT
1601 40TH AVE S
FARGO, ND 58104-6303
Phone number: 701-317-3241
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