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1164915690
IBRAHIM ZIAD JAMAL HADDAD
KINGSPORT, TN
NPI
1164915690
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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
2018-06-09
Last Update Date
2018-06-09
Business Address
DR. IBRAHIM ZIAD JAMAL HADDAD MBBS
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-4000
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Mailing Address
DR. IBRAHIM ZIAD JAMAL HADDAD MBBS
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7280
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