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Individual

AMINA MUSSA ABDURHAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(612) 298-7636
Mailing address
5501 BOONE AVE N APT 110, NEW HOPE, MN 55428-3653
(469) 586-6761
(612) 354-3801

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MN

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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