Fardowsa Abdiasis Mohamed

Name

Fardowsa Abdiasis Mohamed

Year of birth

1985

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Fardowsa Abdiasis Mohamed

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Additional Information

General: IND- LIC HC SERV PRO

Specialty: PHYSICIAN ASSISTANT

Address: 8400 GOLDEN VALLEY ROAD APT 10

City: MINNEAPOLIS

State: MN

Zip code: 55427

Exclusion type: Conviction of program-related crimes. Minimum Period: 5 years (Social Security Act: 1128(a)(1), 42 USC §: 1320a-7(a)(1))

Exclusion date: 2021-07-20


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