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Individual

DR. AUGUSTINA O EGWIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ETC

Contact information

Practice address
1401 MARYLAND AVE E, SAINT PAUL, MN 55106-2850
(651) 774-3011
Mailing address
1401 MARYLAND AVE E, SAINT PAUL, MN 55106-2850
(651) 774-3011

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123638
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123638
PHARMACIST LICENSE
MN
Enumeration date
08/14/2020
Last updated
08/14/2020
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