Individual
ABUBAKAR A ISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15830 VENTURE LN, EDEN PRAIRIE, MN 55344-5732
(651) 299-0044
Mailing address
15830 VENTURE LN, EDEN PRAIRIE, MN 55344-5732
(651) 299-0044
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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