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Individual

HODAN MOHAMUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2003 10TH AVE S STE 8, MINNEAPOLIS, MN 55404-2151
(612) 584-4628
(612) 345-5247
Mailing address
2003 10TH AVE S STE 8, MINNEAPOLIS, MN 55404-2151
(612) 584-4628
(612) 345-5247

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MN

Other

Enumeration date
09/08/2016
Last updated
09/08/2016
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