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Individual

ASHA ABUKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1522 E LAKE ST, SUITE 201, MINNEAPOLIS, MN 55407-1720
(612) 722-0591
Mailing address
7206 FORESTVIEW LN N, SUITE 211, MAPLE GROVE, MN 55369-5581
(612) 722-0591
(612) 722-0796

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
374J00000X
Doula
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
02/10/2016
Last updated
02/10/2016
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