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1043488216
MOHAMED GHONIEM IBRAHIM
LADY LAKE, FL
NPI
1043488216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL pt 12757)
Enumeration Date
2008-02-11
Last Update Date
2008-02-11
Business Address
-- MOHAMED GHONIEM IBRAHIM pt
607 HIGHWAY 466 SUITE A
LADY LAKE, FL 32159-3792
Phone number: 352-787-0669
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Mailing Address
-- MOHAMED GHONIEM IBRAHIM pt
607 HIGHWAY 466 SUITE A
LADY LAKE, FL 32159-3792
Phone number: 352-787-0669
Copy
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