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1225875883
OMAR WAFIK EBRAHIM IBRAHIM
COLUMBUS, MS
NPI
1225875883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-11
Last Update Date
2024-07-11
Business Address
OMAR WAFIK EBRAHIM IBRAHIM MD
2520 5TH ST N
COLUMBUS, MS 39705-2008
Phone number: 662-244-1705
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Mailing Address
OMAR WAFIK EBRAHIM IBRAHIM MD
2520 5TH ST N
COLUMBUS, MS 39705-2008
Phone number: 662-244-1705
Copy
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