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Individual

TINA M KEGLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2546 CUMBERLAND RD, GRAND FORKS, ND 58201-6127
(218) 779-9144
Mailing address
2546 CUMBERLAND RD, GRAND FORKS, ND 58201-6127
(218) 779-9144

Taxonomy

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

Other

Enumeration date
01/26/2021
Last updated
01/26/2021
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