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Individual

SUSAN HELENA JENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, PHD

Contact information

Practice address
501 N COLUMBIA RD STOP 9037, GRAND FORKS, ND 58202-9037
(701) 777-2831
Mailing address
6520 LAKE DR, GRAND FORKS, ND 58201-8318

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14080
CA
225100000X
Physical Therapist
5501003202
MI
225100000X
Physical Therapist
5574
MN
225100000X
Physical Therapist
Primary
973
ND

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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