Individual
ABDUL HAFID OSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19950 DODD BLVD STE 102, LAKEVILLE, MN 55044-6342
(952) 688-7308
Mailing address
19950 DODD BLVD STE 102, LAKEVILLE, MN 55044-6342
(952) 688-7308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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