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1811147325
TIMOTHY W STARK
WEST FARGO, ND
NPI
1811147325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: ND 647)
Enumeration Date
2008-09-22
Last Update Date
2008-09-22
Business Address
-- TIMOTHY W STARK DC DACBSP ICSSD CSCS
715 13TH AVE E SUITE 101
WEST FARGO, ND 58078-3380
Phone number: 701-492-0696
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Mailing Address
-- TIMOTHY W STARK DC DACBSP ICSSD CSCS
715 13TH AVE E SUITE 101
WEST FARGO, ND 58078-3380
Phone number: 701-492-0696
Copy
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