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1922780212
IMRAN BASHIR MOHAMED
SAINT LOUIS PARK, MN
NPI
1922780212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-04
Last Update Date
2023-08-04
Business Address
IMRAN BASHIR MOHAMED
4236 PARK GLEN RD
SAINT LOUIS PARK, MN 55416-4758
Phone number: 952-888-7534
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Mailing Address
IMRAN BASHIR MOHAMED
4236 PARK GLEN RD
SAINT LOUIS PARK, MN 55416-4758
Phone number: 952-906-7534
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