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1255004180
IBRAHIM ALI IBRAHIM
RENTON, WA
NPI
1255004180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA 61151275)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
Mr. IBRAHIM ALI IBRAHIM ARNP
4702 DAVIS AVE S APT BB202
RENTON, WA 98055-8239
Phone number: 206-697-8181
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Mailing Address
Mr. IBRAHIM ALI IBRAHIM ARNP
4702 DAVIS AVE S APT BB202
RENTON, WA 98055-8239
Phone number: 206-697-8181
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