Individual
STELL AUSTIN FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 WASHINGTON ST SE, DEVILS LAKE, ND 58301-3220
(701) 350-0713
Mailing address
1313 14TH ST SE, DEVILS LAKE, ND 58301-4017
(701) 350-0713
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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