Individual
IBRAHIM NOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 ENERGY LN STE 110A, SAINT PAUL, MN 55108-5254
(612) 323-1438
Mailing address
1350 ENERGY LN STE 110A, SAINT PAUL, MN 55108-5254
(612) 323-1438
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1126343
MN
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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