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Individual

MICHELLE RAE CROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMA

Contact information

Practice address
104 19TH ST NE, DEVILS LAKE, ND 58301-1614
(701) 351-0147
Mailing address
104 19TH ST NE, DEVILS LAKE, ND 58301-1614
(701) 351-0147

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
45819
ND

Other

Enumeration date
09/04/2023
Last updated
09/04/2023
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