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1285272799
MICHAELLA R WAVRA
GRAND FORKS, ND
NPI
1285272799
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Former Name
MICHAELLA R JOHSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 1784)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
MICHAELLA R WAVRA SLP
2400 47TH AVE S
GRAND FORKS, ND 58201
Phone number: 701-746-2205
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Mailing Address
MICHAELLA R WAVRA SLP
PO BOX 6000
GRAND FORKS, ND 58206-6000
Phone number: 701-746-2205
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