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1124799499
LILIAN OMODI
MINNEAPOLIS, MN
NPI
1124799499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 8543)
Enumeration Date
2021-09-25
Last Update Date
2021-12-16
Business Address
LILIAN OMODI CNP
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-672-7422
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Mailing Address
LILIAN OMODI CNP
720 WASHINGTON AVE SE
MINNEAPOLIS, MN 55414-2924
Phone number:
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