Individual
WILLIAM CLARE CEBULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
29538 OLINDA TRL, LINDSTROM, MN 55045-9440
(651) 247-9069
Mailing address
29538 OLINDA TRL, LINDSTROM, MN 55045-9440
(651) 247-9069
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R 140921-5
MN
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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