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Individual

KAFYA HALLY ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 W LAKE ST STE 196, SUITE 196, MINNEAPOLIS, MN 55408-3154
(612) 200-8839
(612) 545-5463
Mailing address
PO BOX 80048, MINNEAPOLIS, MN 55408-8048
(612) 200-8839
(612) 545-5463

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MN

Other

Enumeration date
08/14/2012
Last updated
11/03/2014
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