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1518723394
MALLEK IBRAHIM ABDELBASET BIN MYRON
GARDENA, CA
NPI
1518723394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
MALLEK IBRAHIM ABDELBASET BIN MYRON
1225 W 190TH ST
GARDENA, CA 90248-4320
Phone number: 424-354-7703
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Mailing Address
MALLEK IBRAHIM ABDELBASET BIN MYRON
9465 ROSEMARIE CT
CYPRESS, CA 90630-2858
Phone number: 951-355-3338
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