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Individual

FARAH ISAACK HASSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1531 32ND AVE S STE 102, FARGO, ND 58103-5911
(701) 799-8159
(701) 205-0815
Mailing address
1531 32ND AVE S STE 102, FARGO, ND 58103-5911
(701) 799-8159
(701) 205-0815

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
HAS953635
ND

Other

Enumeration date
07/13/2026
Last updated
07/13/2026
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