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But she says she will draw heavily on her back story as a patient — at a time when the pressure is on for safety-net clinics to better track patient results and cut costs.

The proud Somali community of Cedar-Riverside has high expectations of Noor, as well.

The center opened in 1970 as an all-volunteer operation with limited hours.

By the time Noor became a patient in 1998, it was a full-fledged community clinic.

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to study before dropping off her daughter at day care and heading to an 8 a.m. She was overwhelmed — and determined not to show it.

“She didn’t want anyone to cut her any slack,” said Noor’s sister, Ilhan Omar, now a Minneapolis City Council senior policy aide.

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She juggled college, motherhood and a part-time job: in a nursing home, a call center and later as a medical assistant at Hennepin County Medical Center.When Sahra Noor first visited People’s Center Health Services, she was a harried college freshman and the single mom of a toddler.She had arrived in the United States two years earlier after spending most of her teenage years in Kenyan refugee camps.“Her daughter was never going to be an obstacle or an excuse.” After graduation, Noor worked as a nurse at Hennepin County Medical Center. Osman Harare, a Somali patient advocate at the time, remembers her explaining carefully how immunizations, insurance and appointments work to patients.