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Organization
MANDAREE COMMUNITY CLINIC
Active
Organization
MANDAREE COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT BENJI KITAGAWA DO (MEDICAL DIRECTOR)
(308) 660-9321
Entity
Organization
Contact information
Practice address
404 RIDGE ROAD, MANDAREE, ND 58757
(701) 421-1357
Mailing address
1118 EAST C STREET, NORTH PLATTE, NE 69101
(308) 660-9321
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
38,708,300
ND
Other
Enumeration date
06/17/2015
Last updated
02/15/2016
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