Individual
PROF. GATLUAK PUOT WELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
11 CIVIC CENTER PLZ STE 111, MANKATO, MN 56001-7700
(507) 351-8071
Mailing address
11 CIVIC CENTER PLZ STE 111, MANKATO, MN 56001-7700
(507) 351-8071
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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