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Individual

AMIR MUSSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4001 STINSON BLVD NE, MINNEAPOLIS, MN 55421-3488
(612) 345-7306
Mailing address
1509 88TH AVE N, BROOKLYN PARK, MN 55444-1358

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/26/2023
Last updated
12/26/2023
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