Individual
GAYLON HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2510 EVERGREEN RD N, FARGO, ND 58102-2117
(701) 237-0944
Mailing address
2510 EVERGREEN RD N, FARGO, ND 58102-2117
(701) 237-0944
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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