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Organization

SERVICE FIRST HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JOLIE IPONDO AKUMBY NURSE (LPN)
(404) 985-7025
Entity
Organization

Contact information

Practice address
215 32ND ST E APT 203, WILLISTON, ND 58801-5083
(404) 985-7025
Mailing address
215 32ND ST E APT 203, WILLISTON, ND 58801-5083
(404) 985-7025

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
07/17/2024
Last updated
07/17/2024
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