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Individual

MR. NYGWO OJULU ODOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
706 SOUTH 9TH STREET APT 309, MINNEAPOLIS, MN 55404
(612) 558-1263
Mailing address
706 S 9TH ST APT 309, MINNEAPOLIS, MN 55404-1123
(612) 558-1263

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
03/28/2013
Last updated
03/28/2013
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