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1952594137
MICHAEL KENNETH IBACH
BISMARCK, ND
NPI
1952594137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 1086)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
-- MICHAEL KENNETH IBACH
225 N 7TH ST
BISMARCK, ND 58501
Phone number: 701-323-8936
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Mailing Address
-- MICHAEL KENNETH IBACH
225 N 7TH ST
BISMARCK, ND 58501
Phone number:
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