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Individual

ABDULAHI ADAN DAYIB I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3055 OLD HIGHWAY 8 STE 190, SAINT ANTHONY, MN 55418-2595
(612) 345-7659
(612) 605-6300
Mailing address
1550 LARPENTEUR AVE W APT 210, FALCON HEIGHTS, MN 55113-6367
(651) 373-0999

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/27/2024
Last updated
05/09/2024
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