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1235777665
MINA IBRAHEM
SANTA MARIA, CA
NPI
1235777665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 78468)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
MINA IBRAHEM Pharmacist
2116 S BROADWAY
SANTA MARIA, CA 93454-7812
Phone number: 805-922-7934
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Mailing Address
MINA IBRAHEM Pharmacist
2116 S BROADWAY
SANTA MARIA, CA 93454-7812
Phone number: 805-922-7934
Copy
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