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Individual

MELISSA COTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
309 WASHINGTON AVE STE 402, WILLISTON, ND 58801-5242
(701) 223-2417
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172A00000X
Driver

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1481493
ND
05
1481756
ND
Enumeration date
01/19/2021
Last updated
04/15/2021
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