Individual
JON KRISTIAN ROSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
647 13TH AVE E STE A, WEST FARGO, ND 58078-3328
(701) 277-8844
Mailing address
2915 BLUESTEM DR APT 1180, WEST FARGO, ND 58078-8039
(651) 356-0029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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