Individual
HOLLEY GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3366 OAKDALE AVE N, SUITE 605, ROBBINSDALE, MN 55422-2948
(763) 520-2940
Mailing address
3366 OAKDALE AVE N, SUITE 605, ROBBINSDALE, MN 55422-2948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1551082
MN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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