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1629612734
SHIRAN IBRAGIMOV
FLUSHING, NY
NPI
1629612734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-10-31
Last Update Date
2019-10-31
Business Address
MS. SHIRAN IBRAGIMOV PA
15064 77TH RD
FLUSHING, NY 11367-3423
Phone number: 347-972-5510
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Mailing Address
MS. SHIRAN IBRAGIMOV PA
15064 77TH RD
FLUSHING, NY 11367-3423
Phone number: 347-972-5510
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