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Individual

AHLAM ABDALLA AWAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4310 N WOODGATE LN, EAGAN, MN 55122-2277
(651) 402-8028
Mailing address
4310 N WOODGATE LN, EAGAN, MN 55122-2277
(651) 402-8028

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/24/2024
Last updated
06/24/2024
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