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1730401498
JACQUELINE BAVARO
DEVILS LAKE, ND
NPI
1730401498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ND 2975)
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
-- JACQUELINE BAVARO
224 4TH ST NW STE 5
DEVILS LAKE, ND 58301-2960
Phone number: 701-664-6776
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Mailing Address
-- JACQUELINE BAVARO
1201 25TH ST S PO BOX 9859
FARGO, ND 58103-2311
Phone number: 701-662-6776
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