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Bashir Omar

NPI 1235589854 · on the registry since 2016 · sole proprietor

Practice

Address
2426 Park Ave # 309
Faribault, MN 55021
Phone
(612) 644-4582

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota