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1114050465
JACKIE MIDGARDEN
GRAFTON, ND
NPI
1114050465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 434)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mrs. JACKIE MIDGARDEN SLP
830 W 15TH ST
GRAFTON, ND 58237-2055
Phone number: 701-352-1739
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Mailing Address
Mrs. JACKIE MIDGARDEN SLP
701 W 6TH ST
GRAFTON, ND 58237-1379
Phone number: 701-352-2574
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