Individual
JUDITH BOURLAND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
17 EXCHANGE ST W, #222, SAINT PAUL, MN 55102-1045
(651) 602-0101
(651) 602-0035
Mailing address
17 EXCHANGE ST W, #222, SAINT PAUL, MN 55102-1045
(651) 602-0101
(651) 602-0035
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R1025893
MN
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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