Individual
BRANDON MATTHEW HORSE LOOKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2403 E THAYER AVE, BISMARCK, ND 58501-5014
(701) 202-7731
Mailing address
1119 UNIVERSITY DR LOT 1508, BISMARCK, ND 58504-6614
(701) 471-1037
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
HOR000655
ND
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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