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Individual

CARL L LAVALLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1009 LOUIS RIEL DR APT 112, BELCOURT, ND 58316-3910
(701) 334-2683
Mailing address
1009 LOUIS RIEL DR APT 112, BELCOURT, ND 58316-3910
(701) 334-2683

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1496062
ND
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/24/2026
Last updated
05/04/2026
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