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1376026682
BRENT M JANSEN
DETROIT LAKES, MN
NPI
1376026682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MN CNP6192)
Enumeration Date
2018-09-12
Last Update Date
2018-09-18
Business Address
BRENT M JANSEN APRN, NPC
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
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Mailing Address
BRENT M JANSEN APRN, NPC
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number:
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