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Jae Borgen
Student in an Organized Health Care Education/Training Program in Moorhead, Minnesota
NPI 1891214672

Jae Borgen is a Student in an Organized Health Care Education/Training Program based in Moorhead, MN. Jae Borgen practices in Moorhead, MN. The NPI Number for Jae Borgen is 1891214672 and holds a License No. (Minnesota).

The current practice location address for Jae Borgen is 11 4Th St S Apt 103, Moorhead, MN and can be reached out via phone at 701-866-0968.

Location: 11 4Th St S Apt 103, Moorhead, MN, 56560-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891214672
Provider Name
Jae Borgen
Credential
Provider Entity Type
Individual
Gender
Female
Address
11 4Th St S Apt 103, Moorhead, MN, 56560-2608
Phone Number
701-866-0968
Fax Number
Provider Enumeration Date
09/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XZAXZ7694838 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
11 4Th St S Apt 103
City
Moorhead
State
Minnesota
Zip
56560-2608
Phone Number
701-866-0968
Fax Number
person
Provider Business Mailing Address Details
Address
11 4Th St S Apt 103
City
Moorhead
State
Minnesota
Zip
56560-2608
Phone Number
701-866-0968
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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