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Individual

AYAAN MUHAMMAD BASHI SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5275 EDINA INDUSTRIAL BLVD STE 104, EDINA, MN 55439-2915
(952) 288-9115
(612) 347-8717
Mailing address
5275 EDINA INDUSTRIAL BLVD STE 104, EDINA, MN 55439-2915
(952) 288-9115
(612) 347-8717

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/07/2020
Last updated
04/07/2020
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