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Individual

ANGELICA BADARU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 365-6777
(612) 365-8001
Mailing address
4500 SAND POINT WAY NE, #100, SEATTLE, WA 98105-3900

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
62953
MN
2080P0205X
Pediatric Endocrinology Physician
MD00046071
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
341280
INTERNAL ID-MOTOR VEHICLE ID
05
8446379
WA
Enumeration date
10/17/2006
Last updated
11/14/2017
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