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1598118424
JACK T BADEN
FARGO, ND
NPI
1598118424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ND R34830)
Enumeration Date
2016-07-15
Last Update Date
2016-09-07
Business Address
-- JACK T BADEN NPC
4110 51ST AVENUE SOUTH
FARGO, ND 58104
Phone number: 701-364-3100
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Mailing Address
-- JACK T BADEN NPC
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-8000
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