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Individual
NANCY EL-MOGHRABI
Active
Individual
NANCY EL-MOGHRABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34125
CA
152W00000X
Optometrist
4901005031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144767211
MEDICARE
CA
05
—
1144767211
—
CA
Enumeration date
01/26/2017
Last updated
02/06/2019
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