Individual
CONSTANCE BIH AWASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19987 ENFIELD AVE N, FOREST LAKE, MN 55025-8068
(763) 670-5273
Mailing address
19987 ENFIELD AVE N, FOREST LAKE, MN 55025-8068
(763) 670-5273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5804
MN
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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