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Salmo Abdiwahab Abdikarim

NPI Registration Record

Provider / OrganizationNPIDate Certified
SALMO ABDIWAHAB ABDIKARIM19923102882020-09-13
Entity TypeIndividual
Provider Name Salmo Abdiwahab Abdikarim
Practice Office Address9217 17TH AVE S STE 214
BLOOMINGTON, MN US
Practice Office Telephone9522283797
Mailing Address9217 17TH AVE S STE 214
BLOOMINGTON, MN 554252372 US
Business Telephone9522283797
HPT Codes
CodeLicense NoState
171M00000X PRIMARY
OPI Codes

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