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Individual

MR. JEFFREY SCOTT BJERKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-6584
(701) 780-6008
Mailing address
1905 22ND AVE S, GRAND FORKS, ND 58201-6210
(701) 780-9125
(701) 780-6088

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1616
MN
2255A2300X
Athletic Trainer
Primary
183-98
ND

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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