Ibrahim Bangaly Fofana, DRIVER

NPI #1326845710 in Champlin, Minnesota

Provider Information

NPI Number
1326845710
Entity Type
Individual
Name
Ibrahim Bangaly Fofana, DRIVER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Driver
Credential
DRIVER
Enumeration Date
Feb 25, 2025
Last Updated
Mar 7, 2025

Practice Location

Address
10911 RHODE ISLAND CIR N
ZIP Code
55316-3256
Phone
(763) 232-6365

Specialties & Taxonomy Codes

Specialty
Driver

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