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Individual

EUGENE NICHOLAS CIMAROSTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
418 E BROADWAY AVE, SUITE 25, BISMARCK, ND 58501-4086
(701) 551-6394
Mailing address
418 E BROADWAY AVE, SUITE 25, BISMARCK, ND 58501-4086
(701) 551-6394

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4627
ND

Other

Enumeration date
10/01/2013
Last updated
10/01/2013
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