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1316322043
CHADI IBRAHIM
SALT LAKE CITY, UT
NPI
1316322043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: WI 63989)
Enumeration Date
2015-07-23
Last Update Date
2018-07-09
Business Address
CHADI IBRAHIM M.D.
275 E 200 S
SALT LAKE CITY, UT 84111
Phone number: 202-779-5214
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Mailing Address
CHADI IBRAHIM M.D.
275 E 200 S
SALT LAKE CITY, UT 84111-2002
Phone number:
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