DOUGLAS JOHN STAVENGER

FARGO, ND
NPI1649343930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
Enumeration Date2006-11-16
Last Update Date2009-02-04
Business Address
-- DOUGLAS JOHN STAVENGER ABO
1547 SO UNIVERSITY DR
FARGO, ND 58103
Phone number: 701-235-5185
Mailing Address
-- DOUGLAS JOHN STAVENGER ABO
1547 SO UNIVERSITY DR
FARGO, ND 58103
Phone number: 701-235-5185
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