Individual
SHENGO KIBRI DAWUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 WESTGATE DR, SAINT PAUL, MN 55114-1065
(612) 357-0642
Mailing address
470 WESTERN AVE N, SAINT PAUL, MN 55103-2292
(612) 357-0642
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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