Individual
AHLAAN OMAR ABDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10190 BALTIMORE ST NE STE 200, BLAINE, MN 55449-6045
(612) 400-5731
Mailing address
10190 BALTIMORE ST NE STE 200, BLAINE, MN 55449-6045
(612) 400-5731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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