Individual
JOHN RANDOLPH JUBILEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 3RD ST SE, MINOT, ND 58701-3958
(701) 857-0772
Mailing address
PO BOX 2209, MINOT, ND 58702-2209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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