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Individual

MOHAMED ABDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1403 LOFTSGORDON AVE # A, MADISON, WI 53704-4007
(612) 384-8301
Mailing address
1403 LOFTSGORDON AVE # A, MADISON, WI 53704-4007
(612) 384-8301

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
WI

Other

Enumeration date
09/24/2024
Last updated
09/24/2024
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