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1780247023
KEITH KIRIMI NDEGE
FARGO, ND
NPI
1780247023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014512)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
KEITH KIRIMI NDEGE
5225 23RD AVE SOUTH
FARGO, ND 58104
Phone number: 701-417-3400
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Mailing Address
KEITH KIRIMI NDEGE
5357 27TH ST SOUTH, APT 110
FARGO, ND 58104
Phone number: 701-781-7573
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