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Organization

AZSENTIA HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AZEEZ FOLORUNSHO RUFAI NP (PMHNP-BC/CEO)
(320) 310-7580
Entity
Organization

Contact information

Practice address
601 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3665
(320) 310-7580
Mailing address
1015 CORY LN, SAINT CLOUD, MN 56303-4689
(320) 310-7580

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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