SAMUEL MORACHA BIRUNDU

ST LOUIS PARK, MN
NPI1225430317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MN  R 157904-8)
Enumeration Date2014-09-19
Last Update Date2014-09-22
Business Address
Mr. SAMUEL MORACHA BIRUNDU CNP
5861 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416-1653
Phone number: 763-544-1000
Mailing Address
Mr. SAMUEL MORACHA BIRUNDU CNP
10721 SMETANA RD APT 206
MINNETONKA, MN 55343-8081
Phone number: 952-994-3619
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