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Individual

DR. STACEY ARCHIBALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.SC., O.D.

Contact information

Practice address
3409 45TH ST S STE 100, FARGO, ND 58104-8970
(701) 561-0086
(701) 561-0087
Mailing address
3409 45TH ST S STE 100, FARGO, ND 58104-8970
(701) 561-0086
(701) 561-0087

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
689
ND

Other

Enumeration date
05/25/2011
Last updated
09/13/2018
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