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Mr. Omar Shukri
Driver in Bloomington, Minnesota
NPI 1619733557

Omar Shukri is a Driver based in Bloomington, MN. Omar Shukri practices in Bloomington, MN. The NPI Number for Omar Shukri is 1619733557 and holds a License No. W513-266-982-909 (Minnesota).

The current practice location address for Omar Shukri is 1701 American Blvd E Ste 16, Bloomington, MN and can be reached out via phone at 612-605-1621 and via fax at 612-605-1631.

Location: 1701 American Blvd E Ste 16, Bloomington, MN, 55425-1401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619733557
Provider Name
Omar Shukri
Credential
Provider Entity Type
Individual
Gender
Male
Address
1701 American Blvd E Ste 16, Bloomington, MN, 55425-1401
Phone Number
612-605-1621
Fax Number
612-605-1631
Provider Enumeration Date
02/27/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1701 American Blvd E Ste 16
City
Bloomington
State
Minnesota
Zip
55425-1401
Phone Number
612-605-1621
Fax Number
612-605-1631
person
Provider Business Mailing Address Details
Address
1701 American Blvd E Ste 16
City
Bloomington
State
Minnesota
Zip
55425-1401
Phone Number
612-605-1621
Fax Number
612-605-1631
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
W513-266-982-909 (Minnesota)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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