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1619049277
PETER P. DETTLAFF
MINOT, ND
NPI
1619049277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ND 399)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Dr. PETER P. DETTLAFF O.D.
3900 S. BROADWAY ST.
MINOT, ND 58701-7534
Phone number: 701-839-8726
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Mailing Address
Dr. PETER P. DETTLAFF O.D.
PO BOX 1165
WASHBURN, ND 58577-1165
Phone number: 701-462-8656
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