JORDAN IDSO

FARGO, ND
NPI1023555174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R36530)
Enumeration Date2017-01-27
Last Update Date2022-05-19
Business Address
JORDAN IDSO CRNA
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2868
Mailing Address
JORDAN IDSO CRNA
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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