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1114692530
IBRAHIM SHAKUR
STOCKTON, CA
NPI
1114692530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-08-09
Last Update Date
2024-01-19
Business Address
IBRAHIM SHAKUR
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
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Mailing Address
IBRAHIM SHAKUR
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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