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1720780992
NATHAN ARCHIE DAVIS
FARGO, ND
NPI
1720780992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
NATHAN ARCHIE DAVIS
5652 26TH ST S APT 113
FARGO, ND 58104-7729
Phone number: 701-367-3175
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Mailing Address
NATHAN ARCHIE DAVIS
5652 26TH ST S APT 113
FARGO, ND 58104-7729
Phone number: 701-367-3175
Copy
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