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Individual

KAYLEE RAE WASHBURN-MUTSCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
714 S 21ST ST, GRAND FORKS, ND 58201-4134
(170) 133-0240
Mailing address
714 S 21ST ST, GRAND FORKS, ND 58201-4134
(170) 133-0240

Taxonomy

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

Other

Enumeration date
04/20/2022
Last updated
04/20/2022
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