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Individual

DULCE RUBI MARA CORDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, PMHNP-BC

Contact information

Practice address
902 WHITE ST, JACKSON, MN 56143-1473
(507) 350-1219
Mailing address
902 WHITE ST, JACKSON, MN 56143-1473
(507) 350-1219

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11957
MN

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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