FAKHUDIN IBRAHIM

BLOOMINGTON, MN
NPI1780464032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
FAKHUDIN IBRAHIM
9340 JAMES AVE S
BLOOMINGTON, MN 55431-2317
Phone number: 612-226-0907
Mailing Address
FAKHUDIN IBRAHIM
9340 JAMES AVE S
BLOOMINGTON, MN 55431-2317
Phone number: 612-226-0907
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