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Individual

JESSICA ONSUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6060 14TH ST S, FARGO, ND 58104-7226
(701) 630-5952
Mailing address
820 24TH AVE S APT 18, MOORHEAD, MN 56560-4438
(218) 329-8369

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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