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Individual

MRS. COURTNEY CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3712 E REGENT DR, BISMARCK, ND 58504-7530
(701) 333-8844
Mailing address
3712 E REGENT DR, BISMARCK, ND 58504-7530
(701) 333-8844

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1465324
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1465324
ND
Enumeration date
10/26/2020
Last updated
10/26/2020
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