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1598541716
ABDIMALIK DAHIR
LAVEEN, AZ
NPI
1598541716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
ABDIMALIK DAHIR
4612 W PIEDMONT RD
LAVEEN, AZ 85339-2096
Phone number: 949-302-1283
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Mailing Address
ABDIMALIK DAHIR
4612 W PIEDMONT RD
LAVEEN, AZ 85339-2096
Phone number: 949-302-1283
Copy
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