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Individual

JENTRIAN VERNICE HANNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3021
Mailing address
1810 5TH AVE NE APT G9, EAST GRAND FORKS, MN 56721-1308
(515) 720-9419

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/12/2022
Last updated
03/12/2022
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