ELENA SHADE FRAGOZA

BISMARCK, ND
NPI1205615192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
(Licence: ND  FRA-93-0293)
Enumeration Date2023-09-28
Last Update Date2023-09-28
Business Address
ELENA SHADE FRAGOZA
1308 ELBOWOOD LN
BISMARCK, ND 58503-5712
Phone number: 701-751-8267
Mailing Address
ELENA SHADE FRAGOZA
1308 ELBOWOOD LN
BISMARCK, ND 58503-5712
Phone number: 701-751-8267
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