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1427657139
MICHAEL OMOMO
SAVAGE, MN
NPI
1427657139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 7837)
Enumeration Date
2020-10-22
Last Update Date
2021-06-08
Business Address
MICHAEL OMOMO
8640 EAGLE CREEK CIR
SAVAGE, MN 55378-4400
Phone number: 651-600-2567
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Mailing Address
MICHAEL OMOMO
8640 EAGLE CREEK CIR
SAVAGE, MN 55378-4400
Phone number:
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