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1003658527
AUTUMN VASICHEK
GRAND FORKS, ND
NPI
1003658527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-07
Last Update Date
2024-06-07
Business Address
AUTUMN VASICHEK
151 S 4TH ST STE 201
GRAND FORKS, ND 58201-4715
Phone number: 701-787-8522
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Mailing Address
AUTUMN VASICHEK
151 S 4TH ST STE 201
GRAND FORKS, ND 58201-4715
Phone number:
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