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1669785556
JASON KELLY
FARGO, ND
NPI
1669785556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MN 58081)
Enumeration Date
2010-07-20
Last Update Date
2018-05-01
Business Address
JASON KELLY M.D.
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
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Mailing Address
JASON KELLY M.D.
1901 CONNECTICUT AVE S
SARTELL, MN 56377-2554
Phone number:
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