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1053002600
JESSICA ANN WALLETTE
DEVILS LAKE, ND
NPI
1053002600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-16
Last Update Date
2023-08-28
Business Address
JESSICA ANN WALLETTE
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301-3532
Phone number: 701-550-1244
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Mailing Address
JESSICA ANN WALLETTE
200 HIGHWAY 2 W
DEVILS LAKE, ND 58301-3532
Phone number: 701-550-1244
Copy
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