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1093547689
MARCO ANTONIO IBARRA MEDINA
RIVERSIDE, CA
NPI
1093547689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-14
Last Update Date
2024-08-18
Business Address
MARCO ANTONIO IBARRA MEDINA
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501-3199
Phone number: 951-683-6596
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Mailing Address
MARCO ANTONIO IBARRA MEDINA
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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