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Abdikadar Bouraleh
NPI 1447073457 · on the registry since 2024 · sole proprietor
Practice
- Address
- 75 Twin Lake Blvd Apt 114
Little Canada, MN 55127 - Phone
- (207) 440-8021
- Fax
- (763) 374-8511
- Organisation at this address
- Lumen Care, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343800000X
343800000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota