Individual
ABDULKADIR ALI OMAR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 EDINA INDUSTRIAL BLVD STE 230, EDINA, MN 55439-3007
(952) 666-5880
(952) 241-1539
Mailing address
5100 EDINA INDUSTRIAL BLVD STE 230, EDINA, MN 55439-3007
(952) 666-5880
(952) 241-1539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2014
Last updated
05/10/2024
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