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Individual

OGBONNAYA I NWANKWO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11430 47TH AVE N, PLYMOUTH, MN 55442-2903
(646) 244-9983
Mailing address
11430 47TH AVE N, PLYMOUTH, MN 55442-2903
(646) 244-9983

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
425015
MN
310400000X
Assisted Living Facility
Primary
MN

Other

Enumeration date
05/15/2026
Last updated
06/10/2026
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