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Samson Alayande

NPI 1962115030 · on the registry since 2023 · sole proprietor

Practice

Address
2119 110th Ln Nw
Coon Rapids, MN 55433
Phone
(612) 456-6090
Organisation at this address
Glorious Eagles Llc
Glorious Eagles Llc
Interpath Agency Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YP1600X
101YP1600X
Also registered as
171W00000X
103K00000X
Sex
Male
Record last updated
2023-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota