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1760561856
JON STOCK
FARGO, ND
NPI
1760561856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 278-04)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
-- JON STOCK ATC
801 17TH AVE N
FARGO, ND 58102-2226
Phone number: 701-446-2447
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Mailing Address
-- JON STOCK ATC
901 33RD AVE. N. APT. 108
FARGO, ND 58102-0910
Phone number: 701-526-3519
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