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Individual

RITA M FRED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8576 16TH AVE NW, MAXBASS, ND 58760-9775
(170) 126-8324
Mailing address
8576 16TH AVE NW, MAXBASS, ND 58760-9775
(170) 126-8324

Taxonomy

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

Other

Enumeration date
11/11/2020
Last updated
11/11/2020
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