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Individual

MISS EMMA GAYE IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5210 44TH AVE S APT 301, FARGO, ND 58104-4462
(701) 317-7309
Mailing address
5210 44TH AVE S APT 301, FARGO, ND 58104-4462
(701) 317-7309

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
87062
ND

Other

Enumeration date
09/30/2025
Last updated
09/30/2025
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