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Individual

ROSS ALLEN WALERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
428 1/2 2ND ST SW, JAMESTOWN, ND 58401-4005
(701) 320-7622
Mailing address
428 1/2 2ND ST SW, JAMESTOWN, ND 58401-4005
(701) 952-0397

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
DUM00000
ND

Other

Enumeration date
03/31/2023
Last updated
03/31/2023
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