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Individual

LIBAN ALI HASSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
912 E 24TH ST STE A114, MINNEAPOLIS, MN 55404-3871
(612) 806-5426
Mailing address
1915 CLINTON AVE APT 306, MINNEAPOLIS, MN 55404-2749
(612) 806-5426

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
MN

Other

Enumeration date
06/14/2017
Last updated
06/16/2018
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