Individual
OMAR KASALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2123 STILLMAN RD, CLEVELAND HEIGHTS, OH 44118-2771
(216) 312-9873
Mailing address
2123 STILLMAN RD, CLEVELAND HEIGHTS, OH 44118-2771
(216) 312-9873
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
VB445186
OH
Other
Enumeration date
04/18/2023
Last updated
04/19/2023
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