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1255151478
IBRAHIM A FEYISSA
COLUMBIA, MO
NPI
1255151478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2023038187)
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
Dr. IBRAHIM A FEYISSA MD
619 N PROVIDENCE RD
COLUMBIA, MO 65203-4355
Phone number: 573-234-1070
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Mailing Address
Dr. IBRAHIM A FEYISSA MD
2401 W BROADWAY APT 824
COLUMBIA, MO 65203-7620
Phone number: 240-839-8224
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