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1972961621
LISA BERTOSSI
FARGO, ND
NPI
1972961621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
-- LISA BERTOSSI
1126 WESTRAC DR S
FARGO, ND 58103-2342
Phone number: 701-412-2973
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Mailing Address
-- LISA BERTOSSI
891 BELSLY BLVD
MOORHEAD, MN 56560-5055
Phone number: 701-412-2973
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