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Individual

JEANNE DEKREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
(701) 530-8842
Mailing address
900 E BROADWAY AVE, PO BOX 5510, BISMARCK, ND 58501-4520
(701) 530-7000
(701) 530-8842

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
ND 578
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ND 578
LICENSE
ND
Enumeration date
02/09/2010
Last updated
02/09/2010
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