Individual
NICHOLAS O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2526 9TH ST S, FARGO, ND 58103-5708
(701) 412-1817
Mailing address
2526 9TH ST S, FARGO, ND 58103-5708
(701) 412-1817
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
469
ND
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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