Individual
JASON BRULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 GLEN ST, FOLEY, MN 56329
(320) 968-8625
Mailing address
PO BOX 428, FOLEY, MN 56329-0428
(320) 968-8625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122415
MN
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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