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1942737820
LISA VAN HEUKELOM
BISMARCK, ND
NPI
1942737820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ND 1538)
Enumeration Date
2017-05-22
Last Update Date
2023-06-05
Business Address
LISA VAN HEUKELOM MS, OTR/L
4530 NORTHERN SKY DR
BISMARCK, ND 58503-8534
Phone number: 701-751-6336
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Mailing Address
LISA VAN HEUKELOM MS, OTR/L
811 EASTVIEW DR
BISMARCK, ND 58501-3279
Phone number: 701-426-0755
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