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El-lyon Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
EL-LYON LLC17701005212020-06-28
Entity TypeOrganization
Provider OrganizationEL-LYON LLC
Practice Office Address5501 88TH CRESCENT NORTH
BROOKLYN PARK, MN US
Practice Office Telephone7635686204
Mailing Address5501 88TH CRESCENT NORTH
BROOKLYN PARK, MN 55443 US
Business Telephone7635686204
Authorized OfficialADENIKE SHERIFAT OGUNBANWO, OWNER
7635686204
HPT Codes
CodeLicense NoState
251E00000X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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