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1699379602
MELISSA MARIE DECOTEAU
GRAND FORKS, ND
NPI
1699379602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
(Licence: ND DEC892488)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
MELISSA MARIE DECOTEAU
1708 24TH AVE S APT 3
GRAND FORKS, ND 58201-6237
Phone number: 701-215-1226
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Mailing Address
MELISSA MARIE DECOTEAU
723 N 4TH ST
GRAND FORKS, ND 58203-3223
Phone number: 701-620-9979
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