Individual
BILAL OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 LYNDALE AVE S # A, FARIBAULT, MN 55021-5799
(612) 432-7507
Mailing address
9465 173RD ST W, LAKEVILLE, MN 55044-7852
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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