Individual
MUBARAK IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 32ND AVE N, SAINT CLOUD, MN 56303-2227
(612) 232-1923
Mailing address
819 32ND AVE N, SAINT CLOUD, MN 56303-2227
(612) 232-1923
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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