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1922590181
CODY M BAXTER
FARGO, ND
NPI
1922590181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-06-04
Last Update Date
2023-08-08
Business Address
CODY M BAXTER
3625 LINCOLN ST S STE C
FARGO, ND 58104-7766
Phone number: 701-532-2458
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Mailing Address
CODY M BAXTER
3625 LINCOLN ST S STE C
FARGO, ND 58104-7766
Phone number: 701-532-2458
Copy
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