Individual
ATEWA MIRABEL JINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4468
Mailing address
315 31ST AVE E UNIT 5, WEST FARGO, ND 58078-8378
(701) 739-5144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
125620
MN
183500000X
Pharmacist
21493-40
WI
183500000X
Pharmacist
Primary
RPH6363
ND
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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