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Individual

MRS. IBUKUNOLUWA OLUWATONI ORIBAMISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
790 W 66TH ST, RICHFIELD, MN 55423-2203
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.076094
IL
207Q00000X
Family Medicine Physician
Primary
73278
MN

Other

Enumeration date
05/29/2020
Last updated
08/12/2024
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