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1235489998
IBRAHIM FADEYI
LAKELAND, FL
NPI
1235489998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL 49432)
Enumeration Date
2012-09-10
Last Update Date
2012-09-10
Business Address
IBRAHIM FADEYI
101 ARIANA ST
LAKELAND, FL 33803-2159
Phone number: 863-688-5525
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Mailing Address
IBRAHIM FADEYI
11362 BROOKGREEN DR
TAMPA, FL 33624-5247
Phone number: 813-380-0426
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