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Mawududji Wayi

Specialist in Waite Park, MN. Individual provider (NPI-1).

NPI number1124587738
StatusActive
Last updated in NPPESMar 14, 2019

Details

NPI
1124587738
Entity type
Individual (NPI-1)
Name
Mawududji Wayi
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2019
Last updated
Mar 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

423 Great Oak Dr
Waite Park, MN 56387-2507

Phone 218-287-4338

Mailing address

891 Belsly Blvd
Moorhead, MN 56560-5055

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