Individual
SHUKRI AGOOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 GIRARD AVE N, MINNEAPOLIS, MN 55412-2020
(612) 636-8982
Mailing address
3655 GIRARD AVE N, MINNEAPOLIS, MN 55412-2020
(612) 636-8982
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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