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Individual

TINA BOLDUC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 BECKER AVE SW, WILLMAR, MS 56271
(320) 251-2700
Mailing address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 251-2700

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2351566
MN

Other

Enumeration date
05/26/2023
Last updated
05/26/2023
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