Individual
NOUH GOBENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
975 COUNTY ROAD E E, VADNAIS HEIGHTS, MN 55127-7114
(651) 483-2776
Mailing address
975 COUNTY ROAD E E, VADNAIS HEIGHTS, MN 55127-7114
(651) 483-2776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123069
MN
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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