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1215777305
JENSEN LEIGH BLOOM
FARGO, ND
NPI
1215777305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ND 2624)
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
JENSEN LEIGH BLOOM CF-SLP
3060 FRONTIER WAY S
FARGO, ND 58104-8909
Phone number: 701-219-3705
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Mailing Address
JENSEN LEIGH BLOOM CF-SLP
1930 E ROSE CREEK PKWY S
FARGO, ND 58104-6837
Phone number: 701-219-3705
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