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Madison Just

Specialist in Moorhead, MN. Individual provider (NPI-1).

NPI number1366136277
StatusActive
Last updated in NPPESJun 5, 2023

Details

NPI
1366136277
Entity type
Individual (NPI-1)
Name
Madison Just
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2023
Certification date
Jun 5, 2023
Last updated
Jun 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

1505 30th Ave S
Moorhead, MN 56560-5149

Phone 218-287-4338

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

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