Individual
NUR I ODOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 ROBERT ST S, WEST SAINT PAUL, MN 55118-2304
(651) 455-5590
Mailing address
150 RED ROCK RD APT 107, NEWPORT, MN 55055-1831
(612) 877-1012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124951
MN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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