IBRAHIM AHSAN

LA CROSSE, WI
NPI1922632397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  18619-40)
Enumeration Date2020-02-25
Last Update Date2020-02-25
Business Address
IBRAHIM AHSAN
1105 WI-16
LA CROSSE, WI 54601
Phone number: 608-779-0939
Mailing Address
IBRAHIM AHSAN
1010 BERRY AVE APT 218
TOMAH, WI 54660-4464
Phone number: 608-387-1924
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