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1891522991
GRACE J CLARKE
FARGO, ND
NPI
1891522991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: ND 831DPG)
Enumeration Date
2024-09-14
Last Update Date
2024-09-14
Business Address
GRACE J CLARKE
5509 36TH AVE S
FARGO, ND 58104-5216
Phone number: 267-971-8143
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Mailing Address
GRACE J CLARKE
5509 36TH AVE S
FARGO, ND 58104-5216
Phone number: 267-971-8143
Copy
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