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1164149233
DERVISA SMAILAGIC
FARGO, ND
NPI
1164149233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
DERVISA SMAILAGIC
2420 20TH AVE S APT 303
FARGO, ND 58103-4794
Phone number: 701-404-0584
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Mailing Address
DERVISA SMAILAGIC
2420 20TH AVE S APT 303
FARGO, ND 58103-4794
Phone number: 701-404-0584
Copy
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