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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOMIVI T AVEGNON

Active

KOMIVI T AVEGNON is a Case Manager healthcare provider located in FARGO, North Dakota. NPI 1942794441 is currently active in the NPPES registry. Verify at CMS.

Case Manager · FARGO, ND

Registration Details

NPI Number
1942794441
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2018 (8.1120855363971 yrs)
Last Updated
Aug 26, 2020

Practice Information

Address
2624 9TH AVE S
FARGO, ND, 581032350
Browse ND providers · Browse ZIP 58103
Phone
7012984500
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in FARGO, ND

Name Credential NPI
MS. MELODY R PETERSON LAC 1255348504
SHARI A BREZNAY 1588676928
MS. JUDY BECK LSW 1992883284
BETTY JO JOHNSTON BS OT 1851468912
MRS. JESSICA L MICKELSON LSW 1801956255
LYNDA F VISTAD LCSW 1316001092
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.