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Organization

ANE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADNAN Q ALDAYEL PH.D. (VICE PRESIDENT)
(701) 947-2091
Entity
Organization

Contact information

Practice address
426 7TH AVE S, NEW ROCKFORD, ND 58356-2112
(701) 947-2091
(701) 947-2295
Mailing address
426 7TH AVE S, NEW ROCKFORD, ND 58356-2112
(701) 947-2091
(701) 947-2295

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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