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1518789668
JOHN PAUL IBRAHIM
TIGARD, OR
NPI
1518789668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0020217)
Enumeration Date
2024-10-29
Last Update Date
2024-10-29
Business Address
JOHN PAUL IBRAHIM
11565 SW PACIFIC HWY
TIGARD, OR 97223-8845
Phone number: 503-293-7085
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Mailing Address
JOHN PAUL IBRAHIM
11565 SW PACIFIC HWY
TIGARD, OR 97223-8845
Phone number: 503-293-7085
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