Individual
ABDULBASIT MUSSA ABDURHAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 BROADWAY ST NE, MINNEAPOLIS, MN 55413-1251
(651) 399-7341
Mailing address
1919 BROADWAY ST NE STE 120, MINNEAPOLIS, MN 55413-1253
(763) 656-3595
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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