Individual
PHILIP OFIMIANO BORDE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1599 JONES ST, GRAND FORKS AFB, ND 58205
(701) 747-5193
Mailing address
1599 JONES ST, 319 OMRS, GRAND FORKS AFB, ND 58205
(701) 747-5601
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
12/15/2025
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