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Individual

TALON JACOB STAUDINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATS

Contact information

Practice address
4411 DENALI PL, BISMARCK, ND 58503-6872
(701) 590-3304
Mailing address
4411 DENALI PL, BISMARCK, ND 58503-6872
(701) 590-3304

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2686
ND

Other

Enumeration date
01/15/2019
Last updated
10/23/2023
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