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1437587219
BRIDGET BASILE IBRAHIM
BOSTON, MA
NPI
1437587219
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Former Name
BRIDGET BASILE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MA RN270470)
Enumeration Date
2013-10-14
Last Update Date
2013-10-14
Business Address
-- BRIDGET BASILE IBRAHIM
1575 BLUE HILL AVE MATTAPAN COMMUNITY HEALTH CENTER
BOSTON, MA 02126-2122
Phone number: 617-296-0061
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Mailing Address
-- BRIDGET BASILE IBRAHIM
1575 BLUE HILL AVE MATTAPAN COMMUNITY HEALTH CENTER
BOSTON, MA 02126-2122
Phone number: 617-296-0061
Copy
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