PIUS AWANDEM TANYIFOR

SAINT PAUL, MN
NPI1679296248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  9538)
Enumeration Date2022-09-20
Last Update Date2022-09-20
Business Address
PIUS AWANDEM TANYIFOR
2115 COUNTY ROAD D E STE 100
SAINT PAUL, MN 55109-5353
Phone number: 651-358-7020
Mailing Address
PIUS AWANDEM TANYIFOR
7722 MACKENZIE AVE NE
OTSEGO, MN 55330-5031
Phone number: 763-291-3169
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