Individual
AYDAROUS OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7835 3RD ST N STE 108, OAKDALE, MN 55128-5445
(651) 666-1267
Mailing address
7619 WHITNEY DR, APPLE VALLEY, MN 55124-5403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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