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1013488436
VICTOR LEE IBARRA
ROSEVILLE, CA
NPI
1013488436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2279G1100X Respiratory Therapist, Registered, General Care
(Licence: CA 6542)
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
VICTOR LEE IBARRA RCP, RRT
1600 EUREKA RD
ROSEVILLE, CA 95661-3027
Phone number: 916-784-4000
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Mailing Address
VICTOR LEE IBARRA RCP, RRT
11905 ALTA SIERRA DR
GRASS VALLEY, CA 95949-6665
Phone number: 530-575-4000
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