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1164021929
CHASITY MICHELLE LAVALLIE
BELCOURT, ND
NPI
1164021929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-22
Last Update Date
2020-10-22
Business Address
Mrs. CHASITY MICHELLE LAVALLIE
4461 BIA ROAD 10 # 842
BELCOURT, ND 58316-7706
Phone number: 701-278-2244
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Mailing Address
Mrs. CHASITY MICHELLE LAVALLIE
PO BOX 1884
BELCOURT, ND 58316-1884
Phone number: 701-278-2244
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