Individual
AHMED GURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7256 72ND LN N, BROOKLYN PARK, MN 55428-1631
(404) 642-8914
Mailing address
7256 72ND LN N, BROOKLYN PARK, MN 55428-1631
(404) 642-8914
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
549 TNK
MN
347C00000X
Private Vehicle
569 KDX
MN
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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