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1326614447
IBRAHIM HUSSEIN
PROVIDENCE, RI
NPI
1326614447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI LP05250)
Enumeration Date
2021-05-30
Last Update Date
2021-05-30
Business Address
IBRAHIM HUSSEIN MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5127
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Mailing Address
IBRAHIM HUSSEIN MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number:
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