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Justin Vern Perreault
Student in an Organized Health Care Education/Training Program in Moorhead, Minnesota
NPI 1003419912

Justin Vern Perreault is a Student in an Organized Health Care Education/Training Program based in Moorhead, MN. Justin Vern Perreault practices in Moorhead, MN. The NPI Number for Justin Vern Perreault is 1003419912 and holds a License No. (Minnesota).

The current practice location address for Justin Vern Perreault is 925 36Th St. S., Moorhead, MN and can be reached out via phone at 701-318-1116.

Location: 925 36Th St. S., Moorhead, MN, 56560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003419912
Provider Name
Justin Vern Perreault
Credential
Provider Entity Type
Individual
Gender
Male
Address
925 36Th St. S., Moorhead, MN, 56560
Phone Number
701-318-1116
Fax Number
Provider Enumeration Date
11/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
925 36Th St. S.
City
Moorhead
State
Minnesota
Zip
56560-5656
Phone Number
701-318-1116
Fax Number
person
Provider Business Mailing Address Details
Address
925 36Th St. S.
City
Moorhead
State
Minnesota
Zip
56560-5656
Phone Number
701-318-1116
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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