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Organization

JAMES A. WOODMANSEE. OD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES A. WOODMANSEE O.D. (OWNER)
(701) 780-8726
Entity
Organization

Contact information

Practice address
2551 32ND AVE S, JAMES A. WOODMANSEE OD PC, GRAND FORKS, ND 58201-3607
(701) 780-8726
(701) 780-1284
Mailing address
2551 32ND AVE S, JAMES A. WOODMANSEE OD PC, GRAND FORKS, ND 58201-3607
(701) 780-8726
(701) 780-1284

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
557
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60499
ND
Enumeration date
02/27/2008
Last updated
02/28/2008
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