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1760011530
TALA EBRAHIMIAN
BROOKLYN, NY
NPI
1760011530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
TALA EBRAHIMIAN
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-6816
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Mailing Address
TALA EBRAHIMIAN
1338 N GRANT AVE APT 308
COLUMBUS, OH 43201-3929
Phone number:
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