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Individual

LANCE SEDEVIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
116 2ND AVE NW, MANDAN, ND 58554
(701) 663-1151
Mailing address
1261 EAGLE CREST LOOP, BISMARCK, ND 58503-8849

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5054
ND

Other

Enumeration date
12/10/2011
Last updated
01/29/2019
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