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1902146368
KELLY LYNN BRODSHO
FARGO, ND
NPI
1902146368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ND 4301)
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
Mr. KELLY LYNN BRODSHO RPh
2800 BROADWAY N
FARGO, ND 58102-1420
Phone number: 701-293-0221
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Mailing Address
Mr. KELLY LYNN BRODSHO RPh
2800 BROADWAY N
FARGO, ND 58102-1420
Phone number: 701-293-0221
Copy
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