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1750908455
JORDAN ANN WIEDMANN
FARGO, ND
NPI
1750908455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ND 1174572)
Enumeration Date
2020-06-29
Last Update Date
2024-12-04
Business Address
JORDAN ANN WIEDMANN PA-C
4040 42ND ST S STE N
FARGO, ND 58104-4352
Phone number: 701-543-5533
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Mailing Address
JORDAN ANN WIEDMANN PA-C
2822 2ND ST N
FARGO, ND 58102-1606
Phone number: 701-543-5533
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