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1205499407
JEFFREY D MADSEN
FARGO, ND
NPI
1205499407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ND 1003-4-1-19A)
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
JEFFREY D MADSEN LAPC
1201 25TH ST S
FARGO, ND 58103-2311
Phone number: 701-451-4900
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Mailing Address
JEFFREY D MADSEN LAPC
1201 25TH ST S
FARGO, ND 58103-2311
Phone number: 701-451-4900
Copy
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