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Individual

SHUEB MOHAMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
207 25TH ST NW APT C, BEMIDJI, MN 56601-2456
(218) 368-1191
(218) 249-0029
Mailing address
904 AURORA AVE, SAINT PAUL, MN 55104-4739
(651) 815-8183

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
840633700028
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
840633700028
TAXI SERVICES
MN
Enumeration date
09/10/2015
Last updated
02/03/2021
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