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NPI 1104559889

IndividualActive

Abdul Hafid Osman

NPI 1104559889 · Community/Behavioral Health Agency · Lakeville, MN

Provider details

NPI number: 1104559889
Entity type: Individual
Primary specialty: Community/Behavioral Health AgencyAgencies
Sex: Male
Sole proprietor: Yes

Practice location

19950 Dodd Blvd Ste 102

Lakeville, MN 55044-6342

Phone: (952) 688-7308

More MN providers

Mailing address

19950 Dodd Blvd Ste 102

Lakeville, MN 55044-6342

Registry dates

Enumerated: 2022-07-08
Last updated: 2022-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Abdul Hafid Osman — NPI 1104559889, Lakeville, MN | NPI Central