Individual
JAMES MERLE GULLEKSON
Active
Individual
JAMES MERLE GULLEKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014874
MN
163W00000X
Registered Nurse
R31784
ND
225700000X
Massage Therapist
Primary
22146
ND
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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