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Individual

OMAR MOHAMED AL-KAHLOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
233 CALLE LAUREL, FAJARDO, PR 00738-2962
(787) 435-6537
Mailing address
PO BOX 70012, PMB 132, FAJARDO, PR 00738-7012

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18256
PR

Other

Enumeration date
06/19/2008
Last updated
07/12/2011
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