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Individual

ABDULLAHI ISA MUBARAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1550 YANKEE PARK PL, CENTERVILLE, OH 45458-1868
(937) 439-4949
(937) 439-4948
Mailing address
1550 YANKEE PARK PL, CENTERVILLE, OH 45458-1868
(937) 439-4949
(937) 439-4948

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35051593
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0685585
OH
Enumeration date
03/05/2007
Last updated
12/11/2009
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