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1376645226
MICHELLE EBRAHIM
DOTHAN, AL
NPI
1376645226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL R-129 TA-427)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
-- MICHELLE EBRAHIM OD
3300 S OATES ST PRECISION VISION, PC
DOTHAN, AL 36301-5694
Phone number: 334-702-0508
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Mailing Address
-- MICHELLE EBRAHIM OD
1880 HARTFORD HWY APT E23
DOTHAN, AL 36301-4938
Phone number: 334-712-4551
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