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Organization
ECLIPSE HEALTH SERVICES
Active
Organization
ECLIPSE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZILLAH KEMUNTO MULUBISHA CNP (CLINICAL DIRECTOR)
(763) 639-7501
Entity
Organization
Contact information
Practice address
2529 132ND LN NW, COON RAPIDS, MN 55448-1205
(763) 298-3159
Mailing address
2529 132ND LN NW, COON RAPIDS, MN 55448-1205
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
06/23/2026
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