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Individual

JESSE J KRIEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
507 1ST AVE NE, HAZEN, ND 58545
(701) 748-6383
Mailing address
PO BOX 1005, HAZEN, ND 58545-1005
(701) 748-6383

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
474
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58563
ND
Enumeration date
02/01/2007
Last updated
01/27/2015
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