NPI 1508317736

Shukri Agoole

Practitioner Preferred Provider Organization Minneapolis, MN

Practice location

Address: 3655 Girard Ave N, Minneapolis, MN 55412-2020
Phone: (612) 636-8982

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1508317736
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2016
Record last updated: 24 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.