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Individual

MABLE DECOTEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4452 VIA ROAD 8, BELCOURT, ND 58316
(701) 550-0706
Mailing address
PO BOX 1274, BELCOURT, ND 58316-1274
(701) 550-0706

Taxonomy

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

Other

Enumeration date
04/15/2025
Last updated
04/15/2025
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