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1639520364
WAKIYA BERRY
MINNETONKA, MN
NPI
1639520364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5008660)
Enumeration Date
2016-06-23
Last Update Date
2020-06-26
Business Address
WAKIYA BERRY
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 980-925-2463
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Mailing Address
WAKIYA BERRY
4202 LYNN AVE
GASTONIA, NC 28052-4425
Phone number: 704-208-9361
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