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Individual

AMAL MOHAMED FARAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1110 YANKEE DOODLE RD, EAGAN, MN 55121-2092
(651) 454-3970
(651) 241-0059
Mailing address
8080 EDEN RD APT 164, EDEN PRAIRIE, MN 55344-7675
(612) 296-5992

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13402
MN

Other

Enumeration date
09/13/2020
Last updated
07/18/2022
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