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Individual

MARTIN FRU CHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
885 HIGHWAY 36 W APT 204, ROSEVILLE, MN 55113-4433
(651) 983-2483
Mailing address
885 HIGHWAY 36 W APT 204, ROSEVILLE, MN 55113-4433
(651) 983-2483

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2466868
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2466868
MINNESOTA BOARD OF NURSING
MN
Enumeration date
07/21/2022
Last updated
07/21/2022
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