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Organization
IMMIGRANT COMMUNITY DEVELOPMENT CENTER INC
Active
Organization
IMMIGRANT COMMUNITY DEVELOPMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAWAN EBRAHIM REGISTER NURSE (OFFICER)
(413) 291-9020
Entity
Organization
Contact information
Practice address
299 CAREW ST STE 134, SPRINGFIELD, MA 01104-2361
(413) 291-9020
Mailing address
26 BEAUDRY ST, INDIAN ORCHARD, MA 01151-1704
(413) 291-9020
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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