Individual
MRS. CHARLENE RUTH BOISJOLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MA
Contact information
Practice address
920 E 28TH ST, SUITE 620, MINNEAPOLIS, MN 55407-1139
(612) 863-3974
Mailing address
14820 GLENDALE RD, MINNETONKA, MN 55345-6624
(952) 974-9423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 110963-8
MN
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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