Individual
IYANU MARY DARAMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13331 LINWOOD FOREST CIR # NA, CHAMPLIN, MN 55316-1019
(763) 318-3178
Mailing address
13331 LINWOOD FOREST CIR # NA, CHAMPLIN, MN 55316-1019
(763) 318-3178
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
MN
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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