Individual
MR. GILBERT NYAKUNDI OGAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8357 116TH WAY N, CHAMPLIN, MN 55316-2725
(952) 228-1472
Mailing address
9699 KNIGHTSBRIDGE RD APT 26, EDEN PRAIRIE, MN 55347-4317
(952) 228-1472
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2064714
MN
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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