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1720496599
KEVIN DEAN MELBY
MINOT, ND
NPI
1720496599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 140-95)
Enumeration Date
2014-07-24
Last Update Date
2014-07-24
Business Address
-- KEVIN DEAN MELBY
101 3RD AVE SW SUITE 102
MINOT, ND 58701-3880
Phone number: 701-857-5286
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Mailing Address
-- KEVIN DEAN MELBY
101 THIRD AVE SW TRINITY HEALTH WEST SUITE 102
MINOT, ND 58702-5020
Phone number: 701-857-5286
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