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Individual

AMANDA R HEUPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 E LASALLE DR, BISMARCK, ND 58503-8895
(701) 471-7500
Mailing address
1000 E LASALLE DR, BISMARCK, ND 58503-8895
(701) 527-0376

Taxonomy

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

Other

Enumeration date
11/02/2020
Last updated
11/02/2020
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