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Individual

OLUBOLA OMOLARA SALABIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1380 84TH LN N, MINNEAPOLIS, MN 55444-1443
(612) 703-1504
Mailing address
1380 84TH LN N, MINNEAPOLIS, MN 55444-1443
(612) 703-1504

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022009090
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1308266400027
STATE OF MINNESOTA OFFICE OF THE SECRETARY OF STATE
MN
Enumeration date
06/10/2022
Last updated
02/03/2023
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