Individual
FATAH ALI ABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 UNIVERSITY AVE W APT E110, SAINT PAUL, MN 55104
(612) 598-0680
Mailing address
1305 UNIVERSITY AVE WEST APT E110, SAINT PAUL, MN 55104
(612) 598-0680
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
MN
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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