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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
2020-06-29
Business Address
JORDAN ANN WIEDMANN PA-C
3201 33RD ST S
FARGO, ND 58104-8823
Phone number: 701-365-4488
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Mailing Address
JORDAN ANN WIEDMANN PA-C
306 24TH AVE N
FARGO, ND 58102-1929
Phone number: 701-388-5825
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