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Individual

AMINAT FUNMILAYO ADEDAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
671 VANDALIA ST, SAINT PAUL, MN 55114-1312
(651) 696-5521
(651) 696-5544
Mailing address
1247 TERRACE AVE, MAPLEWOOD, MN 55109-5511
(651) 235-4042

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6979
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6979
MN LICENSE
MN
Enumeration date
12/13/2019
Last updated
09/25/2020
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