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Individual

ABSHIR YUSUF HAJI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
306 7TH ST NW APT 12, FARIBAULT, MN 55021-4272
(614) 822-7532
Mailing address
201 LYNDALE AVE S STE I, FARIBAULT, MN 55021-5758
(614) 822-7532

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/05/2018
Last updated
01/05/2021
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