Individual
ABDULKADIR OSMAN HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7205 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(612) 298-7636
(612) 354-3801
Mailing address
13082 VAN BUREN ST NE, BLAINE, MN 55434-3299
(612) 501-1032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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