Individual
FAYRUS ABDIRAHMAN DUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W 80 1/2 ST UNIT 429, BLOOMINGTON, MN 55431-5108
(614) 805-1982
Mailing address
1901 W 80 1/2 ST UNIT 429, BLOOMINGTON, MN 55431-5108
(614) 805-1982
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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