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1164675161
SHAMALA IBRAHIM
JAMAICA, NY
NPI
1164675161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 012502)
Enumeration Date
2008-11-04
Last Update Date
2012-12-30
Business Address
SHAMALA IBRAHIM RPA-C
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
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Mailing Address
SHAMALA IBRAHIM RPA-C
11811 84TH AVE APT# 118
KEW GARDENS, NY 11415-2949
Phone number:
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