Individual
JULIANNE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 DEMERS AVE, GRAND FORKS, ND 58201-4508
(701) 271-3231
Mailing address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 271-3232
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2020
Last updated
12/07/2020
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