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1497578454
TRICIA JO BOSAK-BOVKOON
FARGO, ND
NPI
1497578454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: 45658)
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
TRICIA JO BOSAK-BOVKOON CTRS
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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Mailing Address
TRICIA JO BOSAK-BOVKOON CTRS
2101 ELM ST N
FARGO, ND 58102-2417
Phone number:
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