Provider Information for 1447895719
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DULAL AL-GHURAIBAI
Sex: Female
NPI: 1447895719
Last Updated: 2024-09-11
Certification Date: 2024-09-11
Certification Date: 2024-09-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447895719 | ||||||||
| Enumeration Date | 2019-11-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4619 NW 84TH AVE DORAL, FL 33166-5956 United States Phone: 760-573-4710 | Fax: | ||||||||
| Primary Practice Address | 500 NW 165TH STREET RD MIAMI, FL 33169-6306 United States Phone: 786-657-2722 | Fax: | ||||||||
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