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1669208005
IBTISAM MOHAMED
FARIBAULT, MN
NPI
1669208005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
IBTISAM MOHAMED
201 LYNDALE AVE S STE L3
FARIBAULT, MN 55021-5758
Phone number: 507-339-2526
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Mailing Address
IBTISAM MOHAMED
201 LYNDALE AVE S STE L3
FARIBAULT, MN 55021-5758
Phone number: 612-707-1718
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