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Organization

NASRA S GONJOBE

Active
Other names
Nasra S Gonjobe and Abdi G Gonjobe
Organization subpart
No

Provider details

NPI number
Authorized official
ABDI G GONJOBE (ADMINISTRATOR)
(651) 230-9300
Entity
Organization

Contact information

Practice address
1312 BURKE CIR E, MAPLEWOOD, MN 55109-3450
(651) 230-9300
(651) 756-1696
Mailing address
1312 BURKE CIR E, MAPLEWOOD, MN 55109-3450
(651) 230-9300
(651) 756-1696

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1056572-2-AFC
MN

Other

Enumeration date
08/15/2013
Last updated
08/15/2013
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