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1528898103
ISMAIL OMAR ISMAIL
BLOOMINGTON, MN
NPI
1528898103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
ISMAIL OMAR ISMAIL
1701 AMERICAN BLVD E STE 19
BLOOMINGTON, MN 55425-1151
Phone number: 952-212-0358
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Mailing Address
ISMAIL OMAR ISMAIL
2001 KILLEBREW DR STE 112
BLOOMINGTON, MN 55425-1871
Phone number: 952-212-0358
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