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Individual

AYUB GENEMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
607 CEDAR AVE S, MINNEAPOLIS, MN 55454-1220
(612) 203-8522
(612) 339-1449
Mailing address
607 CEDAR AVE S, MINNEAPOLIS, MN 55454-1220
(612) 203-8522
(612) 339-1449

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
MN

Other

Enumeration date
12/31/2014
Last updated
12/31/2014
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