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1184806820
KIMBERLY MAKONNEN
FARGO, ND
NPI
1184806820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1562)
Enumeration Date
2007-12-05
Last Update Date
2022-01-11
Business Address
KIMBERLY MAKONNEN LAC
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
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Mailing Address
KIMBERLY MAKONNEN LAC
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
Copy
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