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Individual

IBRAHIM DABAJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
316 N DRAKE RD, KALAMAZOO, MI 49009-1106
(269) 888-4488
Mailing address
316 N DRAKE RD, KALAMAZOO, MI 49009-1106
(269) 888-4488

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302039254
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302039254
CS-PHARMACIST
MI
Enumeration date
06/08/2017
Last updated
07/21/2022
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