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Individual

ABDIRAHMAN MOHAMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1615 S 4TH ST APT M2503, MINNEAPOLIS, MN 55454-3102
(612) 354-9955
Mailing address
2614 NICOLLET AVE STE 209, MINNEAPOLIS, MN 55408-1628
(612) 354-3995

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/23/2022
Last updated
06/23/2022
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