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1417493990
SUADO HIRSI DIRIR
MINNEAPOLIS, MN
NPI
1417493990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: MN 1082425)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- SUADO HIRSI DIRIR
2605 BLOOMINGTON AVE
MINNEAPOLIS, MN 55407-1137
Phone number: 612-701-2772
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Mailing Address
-- SUADO HIRSI DIRIR
2605 BLOOMINGTON AVE
MINNEAPOLIS, MN 55407-1137
Phone number: 612-701-2772
Copy
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