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Individual

MS. MARISSA JO QUNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 735-0501
(651) 735-1870
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 177006-7
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
086620
MN

Other

Enumeration date
12/20/2010
Last updated
03/11/2021
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