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1487099073
ALYSSA BAKKEN
FARGO, ND
NPI
1487099073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: 247410)
Enumeration Date
2013-05-08
Last Update Date
2013-05-08
Business Address
-- ALYSSA BAKKEN
2801 9TH ST N
FARGO, ND 58102-1350
Phone number: 701-361-3340
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Mailing Address
-- ALYSSA BAKKEN
PO BOX 812
HAWLEY, MN 56549-0812
Phone number:
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