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1821068966
WAYNE D SAMUELSON
FARGO, ND
NPI
1821068966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ND 75)
Enumeration Date
2006-01-23
Last Update Date
2007-11-07
Business Address
Dr. WAYNE D SAMUELSON PhD
1351 PAGE DR S STE 105
FARGO, ND 58103-3536
Phone number: 701-893-3419
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Mailing Address
Dr. WAYNE D SAMUELSON PhD
1351 PAGE DR S STE 105
FARGO, ND 58103-3536
Phone number: 701-893-3419
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