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1073085304
SANDY IBRAHIM
EDISON, NJ
NPI
1073085304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NJ 37AC00439800)
Enumeration Date
2018-12-27
Last Update Date
2018-12-27
Business Address
SANDY IBRAHIM LAC
100 METROPLEX DR
EDISON, NJ 08817-2684
Phone number: 732-235-8443
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Mailing Address
SANDY IBRAHIM LAC
671 HOES LN W
PISCATAWAY, NJ 08854-8021
Phone number:
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