SHANKAR EZOM

FARGO, ND
NPI1669191979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2022-08-22
Last Update Date2023-01-16
Business Address
SHANKAR EZOM
7220 28TH ST S
FARGO, ND 58104-4589
Phone number: 701-630-9912
Mailing Address
SHANKAR EZOM
7220 28TH ST S
FARGO, ND 58104-4589
Phone number: 701-630-9912
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