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1649481656
MYRON JACOB CULLEN
BISMARCK, ND
NPI
1649481656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 0784)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Mr. MYRON JACOB CULLEN ATC
310 NTH 9TH STREET
BISMARCK, ND 58506-5510
Phone number: 701-530-8100
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Mailing Address
Mr. MYRON JACOB CULLEN ATC
124 RIVERSIDE PARK RD
BISMARCK, ND 58504-5385
Phone number: 701-258-4415
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