Individual
IYINOLA JOEL OGUNLEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Contact information
Practice address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422-4544
(763) 267-8701
Mailing address
3409 NANCY PL, SHOREVIEW, MN 55126-8040
(952) 465-5388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 200800-0
MN
363L00000X
Nurse Practitioner
Primary
7130
MN
Other
Enumeration date
09/15/2011
Last updated
02/04/2020
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