Individual
JONATHAN FUGALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2669 COON RAPIDS BLVD NW, MINNEAPOLIS, MN 55433-0001
(507) 491-4387
Mailing address
14672 FINALE AVE N, HUGO, MN 55038-7517
(507) 491-4387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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