Individual
JIBRIL OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 E 24TH ST, SUITE M112, MINNEAPOLIS, MN 55404-3869
(952) 217-0730
(612) 246-3055
Mailing address
912 E 24TH ST, SUITE M112, MINNEAPOLIS, MN 55404-3869
(952) 217-0730
(612) 246-3055
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
02/15/2024
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