Individual
MR. ABDUL KABBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79OO LAD PARKWAY, BROOKLYN PARK, MN 55443
(763) 316-9352
Mailing address
7900 LAD PKWY, BROOKLYN PARK, MN 55443-2860
(763) 316-9352
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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