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1578593026
RUSSELL R FAST
DICKINSON, ND
NPI
1578593026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ND 2212)
Enumeration Date
2006-07-03
Last Update Date
2020-02-13
Business Address
Mr. RUSSELL R FAST LICSW
1679 6TH AVE W
DICKINSON, ND 58601-2904
Phone number: 701-483-1000
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Mailing Address
Mr. RUSSELL R FAST LICSW
1679 6TH AVE W
DICKINSON, ND 58601-2904
Phone number: 701-483-1000
Copy
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