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1851956296
MUSTAFE ABDI ISMAEL
OWATONNA, MN
NPI
1851956296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: MN R338197355114)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
MUSTAFE ABDI ISMAEL
635 HILLTOP AVE APT C8
OWATONNA, MN 55060-2700
Phone number: 507-213-1575
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Mailing Address
MUSTAFE ABDI ISMAEL
635 HILLTOP AVE APT C8
OWATONNA, MN 55060-2700
Phone number: 507-213-1575
Copy
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