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Individual

BIRKHA GHALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
704 23RD ST S APT 20, FARGO, ND 58103-2493
(701) 526-8595
Mailing address
704 23RD ST S APT 20, FARGO, ND 58103-2493
(701) 951-9114

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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