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Individual

JENNIFER SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1135 2ND AVENUE W STE 202B, WILLISTON, ND 58802
(701) 774-4348
(701) 774-4313
Mailing address
1135 2ND AVENUE W STE 202B, PO BOX 1302, WILLISTON, ND 58802
(701) 774-4348
(701) 774-4313

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ND

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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