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Individual

VICTOR O AJIBOYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
6800 78TH AVE N, SUITE 110, BROOKLYN PARK, MN 55445-2758
(763) 503-1122
(763) 503-1127
Mailing address
6800 78TH AVE N, SUITE 110, BROOKLYN PARK, MN 55445-2758
(763) 503-1122
(763) 503-1127

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
OK

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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