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1730772369
IBRAHIM IFTONI
WOODBRIDGE, VA
NPI
1730772369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: VA 0024180632)
Enumeration Date
2021-02-15
Last Update Date
2021-02-15
Business Address
IBRAHIM IFTONI
3535 COVERED BRIDGE LN
WOODBRIDGE, VA 22192-6413
Phone number: 571-208-4816
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Mailing Address
IBRAHIM IFTONI
3535 COVERED BRIDGE LN
WOODBRIDGE, VA 22192-6413
Phone number: 571-208-4816
Copy
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