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Individual

AHMED B JAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1883 DEER HILLS TRL, EAGAN, MN 55122-2284
(651) 621-4358
Mailing address
1883 DEER HILLS TRL, EAGAN, MN 55122-2284

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T400249174104
MN
Enumeration date
07/01/2020
Last updated
07/01/2020
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