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1649454307
COREY JEFFREY SAMUELSON
BISMARCK, ND
NPI
1649454307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 1474)
Enumeration Date
2007-12-18
Last Update Date
2007-12-20
Business Address
Mr. COREY JEFFREY SAMUELSON DPT
1033 BASIN AVE
BISMARCK, ND 58504-6649
Phone number: 701-223-6613
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Mailing Address
Mr. COREY JEFFREY SAMUELSON DPT
300 N 31ST ST APT 40
BISMARCK, ND 58501-5101
Phone number: 701-570-3480
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