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1891393393
LISA CHARLIE
DICKINSON, ND
NPI
1891393393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
LISA CHARLIE
634 10TH AVE W
DICKINSON, ND 58601-4749
Phone number: 701-690-6299
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Mailing Address
LISA CHARLIE
634 10TH AVE W
DICKINSON, ND 58601-4749
Phone number: 701-690-6299
Copy