Individual
OPEOLUWA SAMUEL BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5019 25TH AVE NW, ROCHESTER, MN 55901-5830
(763) 639-2552
Mailing address
5206 PALMER LN NW, ROCHESTER, MN 55901-3871
(763) 639-2552
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1112646
MN
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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