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Individual

ENITE E OGHENEKARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5504 102ND AVE N, BROOKLYN PARK, MN 55443-2074
(651) 283-4764
(763) 374-4797
Mailing address
5504 102ND AVE N, BROOKLYN PARK, MN 55443-2074
(651) 283-4764

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/22/2025
Last updated
01/22/2025
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