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1750637013
GARY DOUGLAS MELLUM
FARGO, ND
NPI
1750637013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ND 1039)
Enumeration Date
2012-07-24
Last Update Date
2017-05-08
Business Address
Dr. GARY DOUGLAS MELLUM D.C.
5621 36TH AVE S SUITE 200
FARGO, ND 58104-5269
Phone number: 701-429-7001
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Mailing Address
Dr. GARY DOUGLAS MELLUM D.C.
5621 36TH AVE S SUITE 200
FARGO, ND 58104-5269
Phone number: 701-429-7001
Copy
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