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1255353744
JENNIFER L DEJONG
FARGO, ND
NPI
1255353744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ND R26072)
Enumeration Date
2006-07-24
Last Update Date
2008-09-10
Business Address
JENNIFER L DEJONG NP
3838 12TH AVE N
FARGO, ND 58102-2931
Phone number: 701-233-4700
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Mailing Address
JENNIFER L DEJONG NP
3838 12TH AVE N
FARGO, ND 58102-2931
Phone number: 701-233-4700
Copy
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