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Individual

CYDNE TULLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3130 GRIMES AVE N, ROBBINSDALE, MN 55422-3217
(763) 588-0771
Mailing address
3130 GRIMES AVE N, ROBBINSDALE, MN 55422-3217

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
015310
OR
235Z00000X
Speech-Language Pathologist
Primary
10036
MN
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/24/2014
Last updated
01/18/2022
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