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Individual

CHELSEY RAE CHARETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10144 43RD AVE NE, BELCOURT, ND 58316-3844
(701) 681-9491
Mailing address
215 5TH ST SE, RUGBY, ND 58368-2237
(701) 681-9491
(701) 477-3684

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CHELSEY2022
ND
Enumeration date
06/22/2022
Last updated
06/22/2022
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