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1811557051
IBRAHEEM MUTAHR
DETROIT, MI
NPI
1811557051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
IBRAHEEM MUTAHR
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
IBRAHEEM MUTAHR
7940 CREEK BEND DR
YPSILANTI, MI 48197-6204
Phone number: 734-383-2146
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