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1285473181
IGOR IBRAGIMOV
FORT LEONARD WOOD, MO
NPI
1285473181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 00000000000000)
Enumeration Date
2024-05-21
Last Update Date
2024-07-11
Business Address
IGOR IBRAGIMOV DMD
12720 KANSAS AVE
FORT LEONARD WOOD, MO 65473
Phone number: 573-596-1470
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Mailing Address
IGOR IBRAGIMOV DMD
12720 KANSAS AVE
FORT LEONARD WOOD, MO 65473
Phone number: 573-596-1470
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