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Individual

BISHAL KHADKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6674 17TH ST S, FARGO, ND 58104-7861
(701) 781-4428
Mailing address
6674 17TH ST S, FARGO, ND 58104-7861
(701) 781-4428

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
08/07/2024
Last updated
09/04/2024
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