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Individual

HAZEM HASSANEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3255 VICKSBURG LN N, PLYMOUTH, MN 55447-1317
(763) 253-8917
Mailing address
15720 ROCKFORD RD APT 319, PLYMOUTH, MN 55446-4218
(763) 283-6952

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126251
MN

Other

Enumeration date
09/07/2023
Last updated
09/07/2023
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