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Individual

FREDRICK K MOKAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3112 SUNFLOWER WAY NORTHWEST, JORDAN, MN 55352-5989
(952) 686-1816
Mailing address
3112 SUNFLOWER WAY NW, JORDAN, MN 55352-6000
(952) 686-1816

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2513578
MN

Other

Enumeration date
12/30/2024
Last updated
01/17/2025
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