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Individual

NEBASI VALANTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.140164
OH
207Q00000X
Family Medicine Physician
75849-02
WI
207Q00000X
Family Medicine Physician
Primary
79304
MN

Other

Enumeration date
03/20/2018
Last updated
10/30/2025
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