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Individual

DR. OSAHON KINGS ENODUNMWENBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, CNP

Contact information

Practice address
7650 ZANE AVE N, BROOKLYN PARK, MN 55443-3151
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201231-3
MN
363LF0000X
Family Nurse Practitioner
Primary
5909
MN

Other

Enumeration date
06/29/2018
Last updated
06/11/2024
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