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Individual

NATALIE MANNON IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
777 29TH ST STE 301, BOULDER, CO 80303-2316
(303) 440-8243
(303) 440-0292
Mailing address
777 29TH ST STE 301, BOULDER, CO 80303-2316
(303) 440-8243
(303) 440-0292

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0004763
CO

Other

Enumeration date
02/23/2017
Last updated
12/08/2023
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