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Individual

DAHIR SHARIF ABDIWAHAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6260 HIGHWAY 65 NE STE 303, FRIDLEY, MN 55432-5150
(651) 734-3031
Mailing address
778 BERRY ST APT 220, SAINT PAUL, MN 55114-0013
(651) 734-3031

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
12/30/2022
Last updated
12/30/2022
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