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Individual

RITA JEAN MUELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-A

Contact information

Practice address
347 SMITH AVE N, SAINT PAUL, MN 55102-2387
(612) 813-7610
Mailing address
5901 LINCOLN DR # 2REVPE, EDINA, MN 55436-1611
(952) 992-5691
(952) 992-6917

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5124
MN
237600000X
Audiologist-Hearing Aid Fitter
5214
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871892315
MN
Enumeration date
03/23/2011
Last updated
10/31/2017
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