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1669201547
ROSE EKOBENA
BLAINE, MN
NPI
1669201547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 11636)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
ROSE EKOBENA
12044 TERRACE CT NE
BLAINE, MN 55434-3385
Phone number: 612-345-0572
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Mailing Address
ROSE EKOBENA
12044 TERRACE CT NE
BLAINE, MN 55434-3385
Phone number: 612-345-0572
Copy
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