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Individual

ISA JEMAL AMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1405 LILAC DR N # 251G2, GOLDEN VALLEY, MN 55422-4535
(712) 333-1490
Mailing address
1405 LILAC DR N # 251G2, GOLDEN VALLEY, MN 55422-4535
(712) 333-1490

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
07/17/2025
Last updated
07/17/2025
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