Individual
JEANNINE KATHLEEN COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
(701) 952-5154
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
(701) 952-5154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
33
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23196
BCBS OF NORTH DAKOTA
ND
05
—
59899
—
ND
Enumeration date
03/15/2007
Last updated
07/09/2007
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