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1518560044
AUTUMN WAVEREK
FARGO, ND
NPI
1518560044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-11-18
Last Update Date
2020-11-18
Business Address
AUTUMN WAVEREK
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
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Mailing Address
AUTUMN WAVEREK
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
Copy
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