Individual
MR. BLAISE AUGUSTE BINDOULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 894-8767
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-8423
(218) 894-8943
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R191271-5
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP5148
MN
363LG0600X
Gerontology Nurse Practitioner
CNP5148
MN
363LP2300X
Primary Care Nurse Practitioner
CNP5148
MN
Other
Enumeration date
08/11/2015
Last updated
12/06/2019
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