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Individual

CHERYLL MARTINY-JORGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1110 PARTRIDGE LN, HUDSON, WI 54016-2316
(651) 592-8216
(715) 386-5072
Mailing address
1110 PARTRIDGE LN, HUDSON, WI 54016-2316

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R121660-2
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040348-00
MN
Enumeration date
03/29/2006
Last updated
06/20/2008
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