Individual
FADUMO MOHAMUD GURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4749 HIAWATHA AVE, MINNEAPOLIS, MN 55406-3928
(651) 447-3671
Mailing address
4749 HIAWATHA AVE, MINNEAPOLIS, MN 55406-3928
(651) 447-3671
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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