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1215654066
MOBASHAR IBRAHIM
EDINA, MN
NPI
1215654066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
MOBASHAR IBRAHIM
5624 LINCOLN DR
EDINA, MN 55436-1606
Phone number: 612-987-8022
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Mailing Address
MOBASHAR IBRAHIM
5624 LINCOLN DR
EDINA, MN 55436-1606
Phone number: 612-987-8022
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