IDRISS IBRAHIM

MARSHALL, MN
NPI1336525666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  6251)
Enumeration Date2015-08-10
Last Update Date2020-04-16
Business Address
IDRISS IBRAHIM CNP
309 E COLLEGE DR
MARSHALL, MN 56258-2379
Phone number: 507-530-6028
Mailing Address
IDRISS IBRAHIM CNP
1120 BIRCH ST APT 2
MARSHALL, MN 56258-1550
Phone number: 507-530-6028
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