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1730889007
ODELL M TRAVERS
FARGO, ND
NPI
1730889007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-03-06
Last Update Date
2023-03-06
Business Address
ODELL M TRAVERS
6564 28TH ST S
FARGO, ND 58104-4635
Phone number: 701-781-7224
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Mailing Address
ODELL M TRAVERS
6564 28TH ST S
FARGO, ND 58104-4635
Phone number: 701-781-7224
Copy
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