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1801512819
FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
DICKINSON, ND
NPI
1801512819
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Entity Type
Organization
Authorized Contact
VOLNEY WILLETT
President
701-483-6974
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
30 7TH ST W STE LL-50
DICKINSON, ND 58601-4335
Phone number: 701-483-6974
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Mailing Address
FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
30 7TH ST W STE LL-50
DICKINSON, ND 58601-4335
Phone number: 701-483-6974
Copy
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