JEROLD LEE MULLINS

COON RAPIDS, MN
NPI1699777359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R 082378-2)
Enumeration Date2005-08-12
Last Update Date2008-10-09
Business Address
-- JEROLD LEE MULLINS CRNA
8990 SPRINGBROOK DR NW STE 250
COON RAPIDS, MN 55433-5850
Phone number: 763-398-0099
Mailing Address
-- JEROLD LEE MULLINS CRNA
12448 296TH AVE
PRINCETON, MN 55371-9138
Phone number:
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