Individual
MISS SUAD MOHAMED NOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FIRST YEAR COLLEGE
Contact information
Practice address
1202 34TH AVE S APT 104, MOORHEAD, MN 56560-5101
(218) 443-0844
Mailing address
1202 34TH AVE S APT 104, MOORHEAD, MN 56560-5101
(218) 443-0844
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
P586112701519
MN
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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