Individual
MARY FOLAKE DOGUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
15259 60TH AVE N, PLYMOUTH, MN 55446-4542
(651) 242-9835
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3045
MN
Other
Enumeration date
08/13/2024
Last updated
10/18/2024
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