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Individual

MRS. REBECCA MARIE LACLAIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QSP

Contact information

Practice address
1119 UNIVERSITY DR LOT 1609, BISMARCK, ND 58504-6614
(701) 946-0988
Mailing address
1119 UNIVERSITY DR LOT 1609, BISMARCK, ND 58504-6614
(701) 946-0988

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
06/20/2022
Last updated
11/24/2023
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