Individual
JONATHAN DANDURAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 5TH ST N APT 31, FARGO, ND 58102-3771
(701) 793-0135
Mailing address
905 5TH ST N APT 31, FARGO, ND 58102-3771
(701) 793-0135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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