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Individual

MARK E CEGLOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7433
(701) 774-7688
Mailing address
2203 4TH AVE E, WILLISTON, ND 58801-6205
(701) 572-1717

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4903
ND

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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