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FELICIA COUSEYON TARLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
4552 18TH ST S, MOORHEAD, MN 56560-7188
(701) 729-1634
Mailing address
4552 18TH ST S, MOORHEAD, MN 56560-7188
(701) 729-1634

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
G000-075-945-700
MN

Other

Enumeration date
05/06/2024
Last updated
05/06/2024
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