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FAIZA GBEMISOLA AGIRI

Individual Provider (NPI-1) Active

Custodial Care Facility, Adult Care Home

Provider Information

NPI Number
1326850322
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
3540 18TH ST S APT 103, MOORHEAD, MN, 565607118
Phone
(872) 305-7704

Specialties & Taxonomies

Custodial Care Facility, Adult Care Home Primary

All Addresses

LOCATION

3540 18TH ST S APT 103

MOORHEAD, MN, 565607118

(872) 305-7704

MAILING

3540 18TH ST S APT 103

MOORHEAD, MN, 565607118

(872) 305-7704