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1457123739
ABDIRIZAK BASHIR MOHAMED
BURNSVILLE, MN
NPI
1457123739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
ABDIRIZAK BASHIR MOHAMED
432 GATEWAY BLVD
BURNSVILLE, MN 55337-2559
Phone number: 612-707-2279
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Mailing Address
ABDIRIZAK BASHIR MOHAMED
432 GATEWAY BLVD
BURNSVILLE, MN 55337-2559
Phone number: 952-994-4835
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