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Individual

AYUB JERASQUE ONKUNDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-6915
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-6915

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11922
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
11922
MN

Other

Enumeration date
08/02/2024
Last updated
08/02/2024
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