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1376167668
MOHAMED IBRAHIM
WICHITA, KS
NPI
1376167668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KS 94-10347)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
MOHAMED IBRAHIM
1010 N KANSAS ST STE 3023
WICHITA, KS 67214-3124
Phone number: 316-293-2665
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Mailing Address
MOHAMED IBRAHIM
1010 N KANSAS ST STE 3023
WICHITA, KS 67214-3124
Phone number: 316-293-2665
Copy
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