Individual
MR. DALE CLYDE SEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
113 SOUTH MAIN ST, GLEN ULLIN, ND 58631-0670
(701) 348-3303
(701) 348-3913
Mailing address
PO BOX 670, 113 SOUTH MAIN ST, GLEN ULLIN, ND 58631-0670
(701) 348-3303
(701) 348-3913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3203
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20923
—
ND
Enumeration date
11/15/2006
Last updated
07/08/2007
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