Individual
JOHNSON O OLAGUNJU X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8525 EDINBROOK XING, BROOKLYN PARK, MN 55443-1900
(763) 315-5912
Mailing address
2015 GIRARD AVE N, MINNEAPOLIS, MN 55411-2544
(612) 886-4571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244235-2
MN
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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