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1598439028
OMAR AL WAHADNEH
URBANA, IL
NPI
1598439028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125.078832)
Enumeration Date
2021-08-07
Last Update Date
2021-08-07
Business Address
OMAR AL WAHADNEH MBBS
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3110
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Mailing Address
OMAR AL WAHADNEH MBBS
PO BOX 427
URBANA, IL 61803-0427
Phone number: 224-256-3145
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