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1760896823
IBRAHIM ISA
CHARLESTON, SC
NPI
1760896823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SC LL36898)
Enumeration Date
2014-06-17
Last Update Date
2014-06-17
Business Address
-- IBRAHIM ISA
169 ASHLEY AVE RM 202 MSC 333
CHARLESTON, SC 29425-8905
Phone number: 843-792-9705
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Mailing Address
-- IBRAHIM ISA
169 ASHLEY AVE RM 202 MSC 333
CHARLESTON, SC 29425-8905
Phone number: 843-792-9705
Copy
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