Individual
KAREN ALICE GOODEN-GOURNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10364 43RD AVE NE, BELCOURT, ND 58316-5831
(701) 278-5772
Mailing address
10364 43RD AVE NE, P.O B.X. 522, BELCOURT, ND 58316
(701) 278-5772
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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