EDMUND A BOULEY

FAIRMONT, MN
NPI1831286731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy364SP0808X Clinical Nurse Specialist, Psych/Mental Health
(Licence: MN  R178506-5)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: TX  723743)
364SP0808X Clinical Nurse Specialist, Psych/Mental Health
(Licence: TX  723743)
Enumeration Date2006-10-10
Last Update Date2012-06-14
Business Address
Mr. EDMUND A BOULEY CNS
1420 N STATE ST
FAIRMONT, MN 56031-3619
Phone number: 320-219-7518
Mailing Address
Mr. EDMUND A BOULEY CNS
1420 N STATE ST
FAIRMONT, MN 56031-3619
Phone number: 320-219-7518