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Individual

KOU FARNGALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1090 168TH AVE NW, ANDOVER, MN 55304-1312
(763) 843-5324
Mailing address
1090 168TH AVE NW, ANDOVER, MN 55304-1312
(763) 843-5324

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2533528
MN

Other

Enumeration date
02/27/2026
Last updated
02/27/2026
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