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Organization
MONSURAT N OLUWA-OKOUGBO
Active
Organization
MONSURAT N OLUWA-OKOUGBO
Active
Other names
GRACE & WILL PSYCHIATRIC MHS
Organization subpart
No
Provider details
NPI number
Authorized official
MONSURAT OLUWA-OKOUGBO (PMHNP-BC)
(612) 643-3149
Entity
Organization
Contact information
Practice address
8539 EAGLE POINT BLVD., 100, LAKE ELMO, MN 55042
(612) 643-3149
(612) 453-3133
Mailing address
8539 EAGLE POINT BLVD., 100, LAKE ELMO, MN 55042
(612) 643-3149
(612) 453-3133
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
08/11/2022
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