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Individual

GRACE BIRCHEM-MANGALAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2106 1ST ST N, WAHPETON, ND 58075-3017
(701) 899-4872
Mailing address
2106 1ST ST N, WAHPETON, ND 58075-3017

Taxonomy

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

Other

Enumeration date
01/12/2026
Last updated
01/12/2026
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