Statements: Desjardins, Desiree

Canonical ID: us-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:addressLakeview Health Clinic PLLC 2050 36th Ave SW Ste 201 Minot, ND 58701engus_nd_med_exclusionsus-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f
LegalEntity:descriptionMedicaid Provider ID: 1453609engus_nd_med_exclusionsus-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f
LegalEntity:id41e3873ed5db91e4a85c53773d9866cac7e38c29engus_nd_med_exclusionsus-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f
LegalEntity:nameDesjardins, Desireeengus_nd_med_exclusionsus-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f
LegalEntity:npiCode1356661474engus_nd_med_exclusionsus-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f
LegalEntity:sectorRegistered Nurseengus_nd_med_exclusionsus-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-fd5bf9f017d5c9a80e1cca59926c9e68cd6bfb9f
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