Individual
WOSILAT ABOSEDE SOBOYEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3064 ASARUM CT, SHAKOPEE, MN 55379-5408
(651) 354-8544
Mailing address
3064 ASARUM CT, SHAKOPEE, MN 55379-5408
(651) 354-8544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6813
MN
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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