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Individual

MRS. HALIMO HARBI DIRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
717 28TH ST N # 107, FARGO, ND 58102-3140
(952) 217-6039
(952) 217-6039
Mailing address
717 28TH ST N # 107, FARGO, ND 58102-3140
(952) 217-6039

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
62704
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1466336
ND
Enumeration date
12/18/2020
Last updated
12/18/2020
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