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1114694130
SHANTELLE CRUZ
FORT YATES, ND
NPI
1114694130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172A00000X Driver
174400000X Specialist
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
SHANTELLE CRUZ
100 STANDING ROCK AVE
FORT YATES, ND 58538
Phone number: 701-223-2417
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Mailing Address
SHANTELLE CRUZ
4909 SHELBURNE ST
BISMARCK, ND 58503-5605
Phone number: 701-223-2417
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