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1740636596
IBRAHIM T BEIDARI
HARRISBURG, PA
NPI
1740636596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP016119)
Enumeration Date
2016-05-11
Last Update Date
2018-01-23
Business Address
IBRAHIM T BEIDARI CRNP
111 S FRONT ST
HARRISBURG, PA 17101-2010
Phone number: 717-782-3380
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Mailing Address
IBRAHIM T BEIDARI CRNP
409 S 2ND ST STE 2F
HARRISBURG, PA 17104-1612
Phone number:
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