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1356071922
JORDAN PHILLIP WURTZ
FARGO, ND
NPI
1356071922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ND R51654)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
JORDAN PHILLIP WURTZ
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
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Mailing Address
JORDAN PHILLIP WURTZ
2624 9TH AVE S
FARGO, ND 58103-2350
Phone number: 701-298-4500
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