Individual
DANE NELS JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(800) 568-5175
Mailing address
1103 SUNNY LN, ANOKA, MN 55303-1349
(612) 210-8415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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