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Individual

PAULA RENEE ENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1721 34TH ST SW APT A, FARGO, ND 58103-8820
(701) 680-3339
Mailing address
1721 34TH ST SW APT A, FARGO, ND 58103-8820
(701) 680-3339

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
ND

Other

Enumeration date
05/16/2026
Last updated
05/16/2026
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