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1114288933
JENNIFER BROTTLUND
FARGO, ND
NPI
1114288933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND 13699)
Enumeration Date
2012-06-07
Last Update Date
2022-04-29
Business Address
JENNIFER BROTTLUND MD
3955 56TH ST S STE D
FARGO, ND 58104-4845
Phone number: 701-234-2000
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Mailing Address
JENNIFER BROTTLUND MD
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-3300
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