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Mr. EMMANUEL I ANYAOGU

Individual Provider (NPI-1) Active

Case Manager/Care Coordinator

Provider Information

NPI Number
1063285393
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
8906 177TH ST W, LAKEVILLE, MN, 550446670
Phone
(763) 205-1702
Fax
(763) 205-1703

Specialties & Taxonomies

Case Manager/Care Coordinator Primary License: MN #412101

All Addresses

MAILING

8906 177TH ST W

LAKEVILLE, MN, 550446670

(612) 710-7804

LOCATION

8906 177TH ST W

LAKEVILLE, MN, 550446670

(763) 205-1702