DESTANEE BLACK

FORT TOTTEN, ND
NPI1861089443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-29
Last Update Date2020-12-29
Business Address
DESTANEE BLACK
63 HOUSING CIRCLE DR
FORT TOTTEN, ND 58335-3525
Phone number: 701-766-4382
Mailing Address
DESTANEE BLACK
PO BOX 415
FORT TOTTEN, ND 58335-0415
Phone number: 701-766-4382
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