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1568511491
SUSAN B IBRAHIM
CORDOVA, TN
NPI
1568511491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN APN0000012438)
Enumeration Date
2007-01-09
Last Update Date
2023-07-25
Business Address
SUSAN B IBRAHIM CRFNP
1204 N HOUSTON LEVEE RD STE 114
CORDOVA, TN 38018-6687
Phone number: 901-421-5000
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Mailing Address
SUSAN B IBRAHIM CRFNP
2484 WISHANGER CV
GERMANTOWN, TN 38139-6618
Phone number: 901-857-4228
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