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Individual

DEGA M MOHAMUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
200 W LAKE ST, MINNEAPOLIS, MN 55408-3023
(612) 827-8902
(612) 827-4180
Mailing address
2875 JORDAN AVE S, APT 219, MINNETONKA, MN 55305-3516
(781) 420-9042

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118669
MN

Other

Enumeration date
11/04/2011
Last updated
11/04/2011
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