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1316312978
MUSTAFA AL ISMAIL
CORVALLIS, OR
NPI
1316312978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
-- MUSTAFA AL ISMAIL
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- MUSTAFA AL ISMAIL
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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