MARY G BULLOCK

ROSEVILLE, MN
NPI1205932902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MN  R119074-4)
Enumeration Date2006-09-16
Last Update Date2012-04-25
Business Address
MARY G BULLOCK RN, CNP
2845 HAMLINE AVE NORTH
ROSEVILLE, MN 55113
Phone number: 651-631-6100
Mailing Address
MARY G BULLOCK RN, CNP
2845 HAMLINE AVE NORTH
ROSEVILLE, MN 55113
Phone number: 651-631-6100
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