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Individual

DARRELL JOSEPH WHITELIGHTNING JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1017 S 3RD ST APT 18, BISMARCK, ND 58504-6303
(701) 805-6163
Mailing address
1017 S 3RD ST APT 18, BISMARCK, ND 58504-6303
(701) 805-6163

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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