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Individual

ASHWAQ KHALIF YUSSUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2361 HIGHWAY 36 W STE 200, ROSEVILLE, MN 55113-5599
(651) 888-6695
(952) 487-3216
Mailing address
2361 HIGHWAY 36 W STE 200, ROSEVILLE, MN 55113-5599
(651) 888-6695
(952) 487-3216

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/14/2025
Last updated
03/14/2025
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