Individual
MR. BULLI BOKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
10877 TYLER CT NE, BLAINE, MN 55434-3376
(651) 497-1811
Mailing address
10877 TYLER CT NE, BLAINE, MN 55434-3376
(651) 497-1811
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2460149
MN
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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