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Individual

MEGHAN THULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CST-SA

Contact information

Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6700
Mailing address
21540 LINNET ST NW, OAK GROVE, MN 55011-4802
(952) 412-6113

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
246ZS0410X
Surgical Technologist

Other

Enumeration date
12/22/2022
Last updated
12/22/2022
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