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1801412929
STACY LATENDRESSE
MINOT, ND
NPI
1801412929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
STACY LATENDRESSE
225 3RD ST SE
MINOT, ND 58701-3958
Phone number: 701-857-0715
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Mailing Address
STACY LATENDRESSE
PO BOX 2209
MINOT, ND 58702-2209
Phone number: 701-857-0715
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