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Individual

MR. SAMUEL MORACHA BIRUNDU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 985-2000
Mailing address
100 FREEMAN DR, SAINT PETER, MN 56082-3504

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2402
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
R 157904-8
MN

Other

Enumeration date
09/19/2014
Last updated
04/27/2026
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