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MS. ABIMBOLA ADENIKE MATTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
732 E LAKE ST, PAIN RELIEF CENTER OF MINNESOTA, MINNEAPOLIS, MN 55407-1547
(612) 516-3737
Mailing address
5376 SUNWOOD DRIVE, RAMSEY, MN 55303-4216
(612) 515-3737

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A1209274
MN
363LG0600X
Gerontology Nurse Practitioner
G0210002
MN

Other

Enumeration date
06/30/2011
Last updated
12/31/2012
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