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1770056244
KHADIJA BASHIR IBRA
BLOOMINGTON, MN
NPI
1770056244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
KHADIJA BASHIR IBRA
8200 HUMBOLDT AVE S STE 217
BLOOMINGTON, MN 55431-1432
Phone number: 952-888-7055
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Mailing Address
KHADIJA BASHIR IBRA
8200 HUMBOLDT AVE S STE 217
BLOOMINGTON, MN 55431-1432
Phone number: 952-888-7055
Copy
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