Individual
DOMINIC IRABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2330 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3710
(612) 781-1212
Mailing address
2330 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3710
(612) 781-1212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6997
MN
Other
Enumeration date
10/01/2019
Last updated
10/11/2019
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