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Individual

ABAS SALAD SAMATAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1935 COUNTY ROAD B2 W STE 405, ROSEVILLE, MN 55113-2797
(612) 256-9903
Mailing address
1935 COUNTY ROAD B2 W STE 405, ROSEVILLE, MN 55113-2797
(612) 256-9903

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/29/2025
Last updated
04/29/2025
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