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Organization

PATHWAY VIRTU-HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TEMITOPE ABIOLA DAWODU DNP, FNP, PMHNP-BC (PROVIDER)
(612) 517-1293
Entity
Organization

Contact information

Practice address
4570 CHURCHILL ST STE 140, SHOREVIEW, MN 55126-2274
(612) 517-1293
(612) 349-2790
Mailing address
4570 CHURCHILL ST STE 140, SHOREVIEW, MN 55126-2274
(612) 517-1293

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
04/28/2020
Last updated
01/20/2023
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