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Individual

JANN BELANUS

Active
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Individual

JANN BELANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
376
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15646
BLUE CROSS BLUE SHIELD
ND
05
59922
ND
01
6411235
MEDICA
MN
01
8B755BE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/22/2006
Last updated
07/09/2007
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