RAPHAEL OMOTO

MINNEAPOLIS, MN
NPI1245939495
Professional NameRAPHAEL OMOTO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  9968)
Enumeration Date2023-02-27
Last Update Date2026-04-02
Business Address
Mr. RAPHAEL OMOTO CNP
2215 E LAKE ST
MINNEAPOLIS, MN 55407-4385
Phone number: 612-596-9438
Mailing Address
Mr. RAPHAEL OMOTO CNP
7420 UNITY AVE N STE 310C
BROOKLYN PARK, MN 55443-3162
Phone number: 612-212-2595
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