EKAN J EKONG

SHOREVIEW, MN
NPI1770239758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  9016)
Enumeration Date2022-02-28
Last Update Date2022-02-28
Business Address
EKAN J EKONG CNP
157 GRASS LAKE PL APT 104
SHOREVIEW, MN 55126-2048
Phone number: 176-349-8444
Mailing Address
EKAN J EKONG CNP
157 GRASS LAKE PL APT 104
SHOREVIEW, MN 55126-2048
Phone number: 176-349-8444
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