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1114417110
FATUMA LIBAN FARAH
BLOOMINGTON, MN
NPI
1114417110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
FATUMA LIBAN FARAH
8200 HUMBOLDT AVE S STE 217
BLOOMINGTON, MN 55431-1432
Phone number: 952-888-7055
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Mailing Address
FATUMA LIBAN FARAH
8200 HUMBOLDT AVE S STE 217
BLOOMINGTON, MN 55431-1432
Phone number: 952-888-7055
Copy
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