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1154741437
IHSAN ABDUL JABBAR
LUTHERVILLE, MD
NPI
1154741437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD a2689)
Enumeration Date
2014-04-24
Last Update Date
2014-04-24
Business Address
-- IHSAN ABDUL JABBAR PTA
515 BRIGHTFIELD RD
LUTHERVILLE, MD 21093-3643
Phone number: 410-832-2399
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Mailing Address
-- IHSAN ABDUL JABBAR PTA
1705 MCCULLOH ST
BALTIMORE, MD 21217-3435
Phone number: 410-952-4235
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