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Individual
OMAIMAH SARA MAHRAT
Active
Individual
OMAIMAH SARA MAHRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
209.022322
IL
363LF0000X
Family Nurse Practitioner
Primary
209.022322
IL
Other
Enumeration date
12/11/2020
Last updated
11/27/2023
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