Individual
OSMAN MOHAMUD HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 HUMBOLDT AVE S # 210, BLOOMINGTON, MN 55431-1433
(612) 806-5655
Mailing address
8200 HUMBOLDT AVE S # 210, BLOOMINGTON, MN 55431-1433
(612) 806-5655
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
03/04/2021
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