Individual
VIVIAN NGONGANG OGUNYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3875 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(651) 313-8080
Mailing address
3875 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(651) 313-8080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6887
MN
Other
Enumeration date
02/25/2015
Last updated
08/09/2021
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