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Individual

JUSTIS CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
321 8TH AVE N, FARGO, ND 58102-4550
(701) 234-2525
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/01/2024
Last updated
09/09/2024
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