Individual
JOSEPH IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
900 E MAIN ST BLDG 53, NORMAN, OK 73071-5305
(405) 978-8077
Mailing address
109 NAPOLI CT, NORMAN, OK 73069-8660
(405) 978-8077
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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