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Individual

MR. ROBERT IRWIN BIBERDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5603
Mailing address
19 36TH AVE NE, FARGO, ND 58102-1206
(701) 234-5603

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3469
ND

Other

Enumeration date
04/25/2007
Last updated
07/08/2007
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