Individual
JULLIE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 33RD AVE S, ST. CLOUD, MN 56301
(320) 443-6250
Mailing address
610 WARREN AVE W, ANNANDALE, MN 55302-4577
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CARE COORDINATOR
MN
Enumeration date
05/10/2017
Last updated
05/10/2017
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