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Individual

DR. MOWLID BALAYAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
12727 LEYTE ST NE, BLAINE, MN 55449-6792
(651) 808-3568
(612) 341-2278
Mailing address
2711 E FRANKLIN AVE, MINNEAPOLIS, MN 55406-1105
(651) 808-3568
(612) 341-2278

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116706
MN

Other

Enumeration date
04/23/2014
Last updated
04/23/2014
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