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1740484369
JOHN-MINA IBRAHIM
DETROIT, MI
NPI
1740484369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301086042)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
-- JOHN-MINA IBRAHIM M.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1553
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Mailing Address
-- JOHN-MINA IBRAHIM M.D.
1598 OLD CHATHAM DR
BLOOMFIELD HILLS, MI 48304-1040
Phone number: 248-703-5659
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