Individual
MARION KOOZOYEAH GBATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9700 37TH PL N APT 205, PLYMOUTH, MN 55441-1842
(763) 245-7508
Mailing address
9700 37TH PL N APT 205, PLYMOUTH, MN 55441-1842
(763) 245-7508
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2488946
MN
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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