Individual
FREDRICK KIROCHI OKARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1674 AUGUST DR, SHAKOPEE, MN 55379-7740
(952) 564-5165
Mailing address
1674 AUGUST DR, SHAKOPEE, MN 55379-7740
(952) 564-5165
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
789075
MN
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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