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1497808497
EBRAHIM MAMOUR JAGNE
SANTA ANA, CA
NPI
1497808497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA 12322)
Enumeration Date
2007-01-21
Last Update Date
2007-07-08
Business Address
Dr. EBRAHIM MAMOUR JAGNE PA
1329 E 1ST ST
SANTA ANA, CA 92701-6310
Phone number: 714-547-6542
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Mailing Address
Dr. EBRAHIM MAMOUR JAGNE PA
1137 W 58TH PL
LOS ANGELES, CA 90044-3702
Phone number: 310-283-1279
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