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Individual

TITILAYO ADEBAYO SANNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4650 HEATHER RIDGE RD N, OAKDALE, MN 55128-2227
(651) 278-9741
Mailing address
4650 HEATHER RIDGE RD N, OAKDALE, MN 55128-2227
(651) 278-9741

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10164
MN

Other

Enumeration date
09/04/2023
Last updated
09/06/2023
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