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1881732956
JON CARL TENGESDAL
FARGO, ND
NPI
1881732956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Mr. JON CARL TENGESDAL
1202 23 ST S
FARGO, ND 58103
Phone number: 701-293-5429
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Mailing Address
Mr. JON CARL TENGESDAL
1202 23 ST S
FARGO, ND 58103
Phone number: 701-293-5429
Copy
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