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Individual

JENNIFER LYNN WOLLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3003 32ND AVE S STE 9, FARGO, ND 58103-6163
(701) 232-2340
Mailing address
1102 7TH ST S, FARGO, ND 58103-2712
(701) 293-6726

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
955
ND

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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