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1649343930
DOUGLAS JOHN STAVENGER
FARGO, ND
NPI
1649343930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
Enumeration Date
2006-11-16
Last Update Date
2009-02-04
Business Address
DOUGLAS JOHN STAVENGER ABO
1547 SO UNIVERSITY DR
FARGO, ND 58103
Phone number: 701-235-5185
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Mailing Address
DOUGLAS JOHN STAVENGER ABO
1547 SO UNIVERSITY DR
FARGO, ND 58103
Phone number: 701-235-5185
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