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Individual

SELASE ADZO AGUDU-MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
19685 PILOT KNOB RD, FARMINGTON, MN 55024-7238
(651) 602-7500
Mailing address
8936 LYNDALE AVE S, BLOOMINGTON, MN 55420-2742
(952) 881-0163

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2189783
MN
363LF0000X
Family Nurse Practitioner
Primary
6193
MN

Other

Enumeration date
09/08/2018
Last updated
02/01/2022
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