Individual
FARTUN ABDULAHI MACOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 33RD AVE S UNIT D451, BLOOMINGTON, MN 55425-4638
(763) 349-4731
Mailing address
8001 33RD AVE S UNIT D451, BLOOMINGTON, MN 55425-4638
(763) 349-4731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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