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1689953036
TIMOTHY LEE ULLEDAHL
BISMARCK, ND
NPI
1689953036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ND 0900)
Enumeration Date
2011-08-16
Last Update Date
2011-08-16
Business Address
Mr. TIMOTHY LEE ULLEDAHL PTA
1833 EAST BISMARCK EXPRESSWAY
BISMARCK, ND 58554
Phone number: 701-323-5222
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Mailing Address
Mr. TIMOTHY LEE ULLEDAHL PTA
1833 E BISMARCK EXPY
BISMARCK, ND 58504-6708
Phone number: 701-323-5222
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