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1124015508
MIAN A. IBRAHIM
LAFAYETTE, LA
NPI
1124015508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA 24548)
Enumeration Date
2005-09-30
Last Update Date
2008-07-30
Business Address
Dr. MIAN A. IBRAHIM M.D.
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-261-7970
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Mailing Address
Dr. MIAN A. IBRAHIM M.D.
PO BOX 53127
LAFAYETTE, LA 70505-3127
Phone number: 337-261-7970
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