IBRAHIM IBRAHIM

SHREVEPORT, LA
NPI1912562422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-09
Last Update Date2019-05-09
Business Address
IBRAHIM IBRAHIM
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
Mailing Address
IBRAHIM IBRAHIM
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number:
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