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Individual

JESSE JAMES HELGESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1711 6TH ST S, MOORHEAD, MN 56560-3438
(800) 593-7246
Mailing address
500 3RD ST SW, PELICAN RAPIDS, MN 56572-4437
(218) 671-0994

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T560213931811
DRIVER'S LICENSE
MN
Enumeration date
02/05/2019
Last updated
02/05/2019
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