Individual
OJO STEPHEN ORIBAMISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6217 65TH AVE N APT 304, BROOKLYN PARK, MN 55429-1945
(651) 404-5620
Mailing address
2119 110TH LN NW, COON RAPIDS, MN 55433-4173
(612) 456-6090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10251995
MN
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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