Staton Omo-Abu
Staton Omo-Abu is a Technician in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
14455 Preston Rd Apt 108Dallas, TX 75254-8540
Phone: (512) 300-1829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X (TX) |
|---|
Record details
| NPI number | 1881466548 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2023 |
| Last updated in NPPES | October 27, 2023 |
| Certification date | October 27, 2023 |
| Mailing address | 14455 Preston Rd Apt 108, Dallas, TX 75254-8540 |
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