Jordan Jangula

NPI 1679858724 - Optometrist - 152W00000X

NPI Details
NPI 1679858724
Gender Male
Enumeration Date 10/19/2011
Last Updated 11/19/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
3902 13TH AVE S
STE 2517
FARGO ND, 58103-3357, US
Phone (701) 282-5880
Fax (701) 282-8414
Business Location
3902 13TH AVE S
STE 2517
FARGO ND, 58103-3357, US
Phone (701) 282-5880
Fax (701) 282-8414
Toxanomy
Taxonomy Code 152W00000X
License State North Dakota
License Number 719
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According to our database, Dr. Jordan Jangula NPI is 1679858724, taxonomy code is 152W00000X and license number is 719, license state is located at North Dakota. Jordan Jangula physically located at 3902 13th Ave S, Fargo ND, 58103-3357. NPI Number Jordan Jangula has the Individual type.

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1679858724 NPI number is provided on an as is basis without warranty of any kind. 1679858724 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Jangula are for informational purposes only.