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Individual

EDWIN O MORANGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
12707 INGLEWOOD AVE S, SAVAGE, MN 55378-1576
(616) 856-0163
Mailing address
12707 INGLEWOOD AVE S, SAVAGE, MN 55378-1576
(616) 856-0163

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2206640
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
933217
MN
Enumeration date
10/14/2021
Last updated
10/14/2021
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