Individual
GARRET WAYNE DUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
728838
MN
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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