Individual
ABDULKADIR ABDIWAHAB NOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 PLAZA DR, EAGAN, MN 55122-2613
(952) 242-4015
Mailing address
1875 PLAZA DR, EAGAN, MN 55122-2613
(952) 242-4015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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