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1427875822
KRYSTAL LEE TKACH
BISMARCK, ND
NPI
1427875822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-09-25
Last Update Date
2024-10-02
Business Address
KRYSTAL LEE TKACH CNA
823 N 12TH ST
BISMARCK, ND 58501-4306
Phone number: 701-595-4875
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Mailing Address
KRYSTAL LEE TKACH CNA
823 N 12TH ST
BISMARCK, ND 58501-4306
Phone number: 701-595-4875
Copy
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