Individual
MR. JACQUES DOMINIC DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
308 BRIMHALL ST, SAINT PAUL, MN 55105-2430
(651) 698-8115
Mailing address
308 BRIMHALL ST, SAINT PAUL, MN 55105-2430
(651) 698-8115
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
188706-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188706-0
MINNESOTA BOARD OF NURSING
MN
Enumeration date
03/29/2011
Last updated
03/29/2011
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