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1194326942
SHAKUR ABDISALAM
BLOOMINGTON, MN
NPI
1194326942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: MN 397226)
Enumeration Date
2020-11-06
Last Update Date
2020-11-06
Business Address
-- SHAKUR ABDISALAM
1440 E OLD SHAKOPEE RD
BLOOMINGTON, MN 55425-2438
Phone number: 952-201-4493
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Mailing Address
-- SHAKUR ABDISALAM
1440 E OLD SHAKOPEE RD
BLOOMINGTON, MN 55425-2438
Phone number: 952-201-4493
Copy
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