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1508514126
MOHMED OMAR
ROYAL OAK, MI
NPI
1508514126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501301772)
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
MOHMED OMAR
4949 COOLIDGE HWY
ROYAL OAK, MI 48073-1026
Phone number: 248-655-9600
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Mailing Address
MOHMED OMAR
21420 WAVERLY DR
MACOMB, MI 48044-1864
Phone number: 586-464-7553
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