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1083934129
MARIANNE EBRAHIM
FORT WORTH, TX
NPI
1083934129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX BP10037192)
Enumeration Date
2010-06-10
Last Update Date
2010-11-12
Business Address
Dr. MARIANNE EBRAHIM M.D.
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1142
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Mailing Address
Dr. MARIANNE EBRAHIM M.D.
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1142
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