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1205537040
LORI IBACETA
DICKINSON, ND
NPI
1205537040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
LORI IBACETA
128 2ND AVE SE
DICKINSON, ND 58601-5623
Phone number: 701-495-8351
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Mailing Address
LORI IBACETA
128 2ND AVE SE
DICKINSON, ND 58601-5623
Phone number: 701-495-8351
Copy
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