Individual
KAREN GULLICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9303 13TH AVENUE, FT YATES, ND 58538
(701) 854-4709
Mailing address
PO BOX 177, FORT YATES, ND 58538-0177
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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