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1881006120
AHMAD IBRAHIM
VALENCIA, CA
NPI
1881006120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A16622)
Enumeration Date
2014-05-21
Last Update Date
2019-08-30
Business Address
AHMAD IBRAHIM
24159 MAGIC MOUNTAIN PKWY
VALENCIA, CA 91355-3904
Phone number: 661-222-9117
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Mailing Address
AHMAD IBRAHIM
PO BOX 7215
SANTA MONICA, CA 90406-7215
Phone number: 661-222-9117
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