Mr. Larry Earl Underdue
Mr. Larry Earl Underdue is a Personal Care Attendant in Bismarck, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.
- Licensed in
- ND
- In the registry since
- 2020
Practice location Address checks out
420 E Main Ave Apt 1011Bismarck, ND 58501-4069
Phone: (701) 204-1642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X · Licence 1478491 (ND) |
|---|
Record details
| NPI number | 1790388718 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2020 |
| Last updated in NPPES | November 20, 2020 |
| Certification date | November 20, 2020 |
| Mailing address | 420 E Main Ave Apt 1011, Bismarck, ND 58501-4069 |
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