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1932569035
DAVID MAKONDE OGATO
EDINA, MN
NPI
1932569035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MN CNP 4260)
Enumeration Date
2016-03-02
Last Update Date
2019-11-20
Business Address
DAVID MAKONDE OGATO CNP
5325 W 74TH ST
EDINA, MN 55439-2231
Phone number: 612-271-1181
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Mailing Address
DAVID MAKONDE OGATO CNP
1359 KNOLL DR
SHAKOPEE, MN 55379-4624
Phone number: 651-354-6602
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