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1790441632
BRIAN ILLING
FARGO, ND
NPI
1790441632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: ND 2500)
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
BRIAN ILLING DPT
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-2000
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Mailing Address
BRIAN ILLING DPT
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-2000
Copy
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