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1245620632
TAMARA IBRAHIM
LUTZ, FL
NPI
1245620632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PSI29741)
Enumeration Date
2015-01-23
Last Update Date
2015-01-23
Business Address
-- TAMARA IBRAHIM
14905 DEER MEADOW DRIVE
LUTZ, FL 33559
Phone number: 813-300-4477
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Mailing Address
-- TAMARA IBRAHIM
14905 DEER MEADOW DR
LUTZ, FL 33559-3119
Phone number: 813-300-4477
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