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Individual

KEALA MCCLUSKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
130 1ST AVE SE APT 17, DICKINSON, ND 58601-5607
(701) 690-4968
Mailing address
130 1ST AVE SE APT 17, DICKINSON, ND 58601-5607
(701) 690-4968

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
376K00000X
Nurse's Aide
64797
ND

Other

Enumeration date
04/18/2022
Last updated
04/18/2022
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