Individual
ABDIHAMID ALI IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 DIVISION ST, WAITE PARK, MN 56387-1330
(320) 342-2031
Mailing address
110 DIVISION ST, WAITE PARK, MN 56387-1330
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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