Individual
JULIE ANNE BLABOLIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2530 CHICAGO AVE, CSC 175, MINNEAPOLIS, MN 55404-4289
(612) 813-5940
Mailing address
4056 GISELLA BLVD, WHITE BEAR LAKE, MN 55110-4443
(202) 327-3138
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R111564-8
MN
Other
Enumeration date
07/22/2010
Last updated
09/28/2016
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