Individual
BURGANDY EVONE MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 27TH ST SE LOT 814, MINOT, ND 58701-5214
(701) 721-4804
Mailing address
1325 27TH ST SE LOT 814, MINOT, ND 58701-5214
(701) 721-4804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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