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Individual

SHUKRI JAMA MOHAMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
611 E FRANKLIN AVE APT 309, MINNEAPOLIS, MN 55404-2868
(614) 285-9175
Mailing address
611 E FRANKLIN AVE S #309, MINNEAPOLIS, MINNESOTA 55404
(614) 285-9175

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902243421
MN
Enumeration date
05/23/2013
Last updated
12/17/2013
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