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Individual

THOMAS MWAMBI ONDARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1415 LILAC DR N STE 190, MINNEAPOLIS, MN 55422-4544
(763) 898-2157
Mailing address
2875 JORDAN AVE S APT 301, MINNETONKA, MN 55305-3513
(763) 898-2157

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10923
MN

Other

Enumeration date
10/25/2023
Last updated
02/16/2024
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