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1679160014
TINA KELLAR
BISMARCK, ND
NPI
1679160014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
TINA KELLAR
600 E BOULEVARD AVE DEPT 325
BISMARCK, ND 58505-0602
Phone number: 701-328-7423
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Mailing Address
TINA KELLAR
600 E BOULEVARD AVE DEPT 325
BISMARCK, ND 58505-0602
Phone number: 701-328-7423
Copy
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