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1659013332
SURAT JUMOKE IBRAHIM
ARLINGTON, TX
NPI
1659013332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1071834)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
SURAT JUMOKE IBRAHIM PMHNP-BC
201 BILLINGS ST
ARLINGTON, TX 76010-5401
Phone number: 817-803-4770
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Mailing Address
SURAT JUMOKE IBRAHIM PMHNP-BC
6814 BIG BEND LN
ARLINGTON, TX 76002-3510
Phone number: 817-374-5640
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