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Individual

ALEXIS JANE STAMBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1530 1ST AVE N STE 150, MOORHEAD, MN 56560-2278
(218) 307-7172
Mailing address
5359 30TH AVE S # 1-101, FARGO, ND 58104-8977
(218) 850-1303

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MN

Other

Enumeration date
09/10/2021
Last updated
09/10/2021
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