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1740364926
NIZAR ISA IBRAHIM
MORENO VALLEY, CA
NPI
1740364926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A70310)
Enumeration Date
2006-10-25
Last Update Date
2023-03-07
Business Address
Dr. NIZAR ISA IBRAHIM M.D.
24490 SUNNYMEAD BLVD STE 117
MORENO VALLEY, CA 92553-7734
Phone number: 951-242-9595
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Mailing Address
Dr. NIZAR ISA IBRAHIM M.D.
25285 JACLYN AVE
MORENO VALLEY, CA 92557-5707
Phone number: 951-243-1165
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