RUSSELL MOEN

DEVILS LAKE, ND
NPI1326646894
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
RUSSELL MOEN
7332 HIGHWAY 19
DEVILS LAKE, ND 58301-8835
Phone number: 701-393-4461
Mailing Address
RUSSELL MOEN
114 10TH ST NW
DEVILS LAKE, ND 58301-2028
Phone number: 701-331-4701
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