Individual
MR. MICHAEL OMONDI JUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 18TH ST NW, 107, SAUK RAPIDS, MN 56379-8501
(320) 828-4806
Mailing address
110 18TH ST NW, 107, SAUK RAPIDS, MN 56379-8501
(320) 828-4806
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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