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1003500695
IFRAH BASHI LAITOUSSI
FARGO, ND
NPI
1003500695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-06-06
Last Update Date
2024-09-12
Business Address
IFRAH BASHI LAITOUSSI
1323 23RD ST S STE D
FARGO, ND 58103-3759
Phone number: 701-320-2102
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Mailing Address
IFRAH BASHI LAITOUSSI
1323 23RD ST S STE D
FARGO, ND 58103-3759
Phone number:
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