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1396501052
ISAIAH KELLER
MINOT, ND
NPI
1396501052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
ISAIAH KELLER
425 MAIN ST S
MINOT, ND 58701-4414
Phone number: 701-720-2627
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Mailing Address
ISAIAH KELLER
1906 E BROADWAY AVE STE 1
BISMARCK, ND 58501-4740
Phone number: 701-720-2627
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