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Individual

JOLENE G BEITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
247 GEORGE ST W, SAINT PAUL, MN 55107-2759
(206) 979-4773
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-5898

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5892
MN
363LF0000X
Family Nurse Practitioner
60112441
WA

Other

Enumeration date
10/15/2009
Last updated
09/17/2021
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