JACQUELINE GRINNELL

BAXTER, MN
NPI1861045262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  6700)
Enumeration Date2019-07-24
Last Update Date2020-01-07
Business Address
JACQUELINE GRINNELL APRN
13045 FALCON DR STE 100
BAXTER, MN 56425-4201
Phone number: 218-829-9307
Mailing Address
JACQUELINE GRINNELL APRN
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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