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Individual

MASEN AZURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1923 12TH AVE N APT 2, GRAND FORKS, ND 58203-2302
(701) 340-6441
Mailing address
812 4TH AVE S APT 102, GRAND FORKS, ND 58201-4560
(701) 353-5088

Taxonomy

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

Other

Enumeration date
08/26/2021
Last updated
08/26/2021
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