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1053097139
BLAIR K WANNER
BISMARCK, ND
NPI
1053097139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
BLAIR K WANNER
519 LANSING LN
BISMARCK, ND 58504-6563
Phone number: 701-223-5217
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Mailing Address
BLAIR K WANNER
412 W RENO AVE
BISMARCK, ND 58504-6247
Phone number: 701-223-3781
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