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Individual

JAXIN TORGERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1520 2ND AVE NW, WEST FARGO, ND 58078-1161
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/14/2024
Last updated
06/14/2024
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