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1134522717
SHIRLEY KULLA
FARGO, ND
NPI
1134522717
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Former Name
SHIRELY ANN RICHARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ND 123)
Enumeration Date
2014-09-26
Last Update Date
2014-09-26
Business Address
SHIRLEY KULLA
2301 25TH ST S
FARGO, ND 58103-6104
Phone number: 701-234-8730
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Mailing Address
SHIRLEY KULLA
2301 25TH ST S
FARGO, ND 58103-6104
Phone number: 701-234-8730
Copy
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