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1144970153
FADY IBRAHIM
MOUNT VERNON, WA
NPI
1144970153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
FADY IBRAHIM DO
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number: 360-814-2115
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Mailing Address
FADY IBRAHIM DO
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number: 360-814-2115
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