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1306251228
MUDASSER IBRAHIM
PENSACOLA, FL
NPI
1306251228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: FL TRN20435)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
-- MUDASSER IBRAHIM MD
1657 TRINITY DR
PENSACOLA, FL 32504-5708
Phone number: 850-416-7710
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Mailing Address
-- MUDASSER IBRAHIM MD
5153 N 9TH AVE 6TH FLOOR NEMOURS
PENSACOLA, FL 32504-8785
Phone number: 850-416-7658
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