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1790449536
TAREK IBRAHIM
SOUTHLAKE, TX
NPI
1790449536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1086569)
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
TAREK IBRAHIM
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 866-839-6979
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Mailing Address
TAREK IBRAHIM
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number:
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