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1407318553
OLUSEYI O FASHUSI
WOODBURY, MN
NPI
1407318553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 13225)
Enumeration Date
2019-04-05
Last Update Date
2020-02-19
Business Address
OLUSEYI O FASHUSI PA-C
8325 CITY CENTRE DR
WOODBURY, MN 55125-3323
Phone number: 651-731-0859
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Mailing Address
OLUSEYI O FASHUSI PA-C
2025 SLOAN PL STE 35
SAINT PAUL, MN 55117-2092
Phone number: 651-772-1572
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