JEANNE WAALEN

FARGO, ND
NPI1700826369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  PAC 0260)
Enumeration Date2006-06-08
Last Update Date2007-07-08
Business Address
MS. JEANNE WAALEN PHYSICIAN ASSISTANT
4200 WOODHAVEN ST SW
FARGO, ND 58104-3946
Phone number: 701-364-3666
Mailing Address
MS. JEANNE WAALEN PHYSICIAN ASSISTANT
4200 WOODHAVEN ST SW
FARGO, ND 58104-3946
Phone number: 701-364-3666
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