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1669143129
CALLEN B KIBAGENDI
MINNEAPOLIS, MN
NPI
1669143129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MN 8229)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
CALLEN B KIBAGENDI Nurse Practitioner
100 WASHINGTON AVE S
MINNEAPOLIS, MN 55401-2110
Phone number: 000-000-0000
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Mailing Address
CALLEN B KIBAGENDI Nurse Practitioner
PO BOX 9382
NORTH SAINT PAUL, MN 55109-0382
Phone number:
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