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1811200215
MICHAEL MAMDOUH AZIZ IBRAHIM
YUCAIPA, CA
NPI
1811200215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 63426)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
MICHAEL MAMDOUH AZIZ IBRAHIM
34420 YUCAIPA BLVD
YUCAIPA, CA 92399-2412
Phone number: 909-797-1312
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Mailing Address
MICHAEL MAMDOUH AZIZ IBRAHIM
1400 BARTON RD APT 2713
REDLANDS, CA 92373-5443
Phone number: 909-797-1312
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