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1518781319
MICHELLE JO PETERSON
GRAND FORKS, ND
NPI
1518781319
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Former Name
MICHELLE JO DESAUTEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-11-09
Last Update Date
2024-11-12
Business Address
MICHELLE JO PETERSON
1550 9TH AVE S APT 4
GRAND FORKS, ND 58201-4202
Phone number: 701-740-5015
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Mailing Address
MICHELLE JO PETERSON
212 6TH ST NW
EAST GRAND FORKS, MN 56721-1823
Phone number: 701-740-5015
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