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1134632615
OMAR IHSAN SHISHAKLY
HOUSTON, TX
NPI
1134632615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT81652)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
OMAR IHSAN SHISHAKLY
10902 KATY FWY APT 1904
HOUSTON, TX 77043-4915
Phone number: 832-858-0955
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Mailing Address
OMAR IHSAN SHISHAKLY
10902 KATY FWY APT 1904
HOUSTON, TX 77043-4915
Phone number: 832-858-0955
Copy
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