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Individual

LIBAN ABDI MOHAMOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 W 128TH ST STE 102, BURNSVILLE, MN 55337-2456
(952) 393-6931
(952) 895-7338
Mailing address
900 W 128TH ST STE 102, BURNSVILLE, MN 55337-2456
(952) 393-6931
(952) 895-7338

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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