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1740529403
MATTHEW PAUL BAKKUM
BISMARCK, ND
NPI
1740529403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 1724)
Enumeration Date
2013-01-31
Last Update Date
2013-01-31
Business Address
Mr. MATTHEW PAUL BAKKUM DPT
1000 TACOMA AVE STE 500
BISMARCK, ND 58504-7093
Phone number: 701-751-3001
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Mailing Address
Mr. MATTHEW PAUL BAKKUM DPT
1809 VALLEY DR
BISMARCK, ND 58503-0196
Phone number: 701-400-9793
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