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1417337353
HAZIM IBRAHIM
FORT WAYNE, IN
NPI
1417337353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: IN 07001283A)
Enumeration Date
2015-06-05
Last Update Date
2018-07-19
Business Address
Dr. HAZIM IBRAHIM DPM
7527 THOROUGHBRED DR APT 3D
FORT WAYNE, IN 46804
Phone number: 440-840-3692
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Mailing Address
Dr. HAZIM IBRAHIM DPM
7527 THOROUGHBRED DR APT 3D
FORT WAYNE, IN 46804-2362
Phone number: 408-403-6924
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