JACKIE L MADSEN

FARGO, ND
NPI1285928812
Former NameJACKIE L WARDLOW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ND  1527)
Enumeration Date2011-05-31
Last Update Date2011-05-31
Business Address
-- JACKIE L MADSEN DPT
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
Mailing Address
-- JACKIE L MADSEN DPT
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-8000
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