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Individual

BONITA J JENZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,CNP

Contact information

Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 642-2000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R34877
ND

Other

Enumeration date
02/12/2015
Last updated
12/23/2015
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