Connie Bullock

NPI 1518190180 - Registered Nurse - 163WA2000X

NPI Details
NPI 1518190180
Gender Female
Enumeration Date 08/31/2009
Last Updated 08/31/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
621 PACIFIC AVE
MORRIS MN, 56267-1960, US
Phone (320) 589-7425
Fax (320) 589-7433
Business Location
621 PACIFIC AVE
MORRIS MN, 56267-1960, US
Phone (320) 589-7425
Fax (320) 589-7433
Toxanomy
Taxonomy Code 163WA2000X
License State Minnesota
License Number R149320-5
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According to our database, Connie Bullock NPI is 1518190180, taxonomy code is 163WA2000X and license number is R149320-5, license state is located at Minnesota. Connie Bullock physically located at 621 Pacific Ave, Morris MN, 56267-1960. NPI Number Connie Bullock has the Individual type.

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1518190180 NPI number is provided on an as is basis without warranty of any kind. 1518190180 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Bullock are for informational purposes only.