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Individual
ABRAHAM G ABU
Active
Individual
ABRAHAM G ABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11053
MN
363A00000X
Physician Assistant
Primary
PA10004262
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229007
LABOR & INDUSTRIES
WA
05
—
50060526
—
OR
05
—
8504441
—
WA
Enumeration date
01/09/2007
Last updated
10/24/2016
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