Kulle Basha

NPI #1386325082 in Blaine, Minnesota

Provider Information

NPI Number
1386325082
Entity Type
Individual
Name
Kulle Basha
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other
Enumeration Date
Jul 26, 2023
Last Updated
Jul 26, 2023

Practice Location

Address
11178 ABLE ST NE
City
Blaine
ZIP Code
55434-5505
Phone
(952) 297-7855

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other

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