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1104315985
JOHNNY RAY IBARRA
ROSWELL, NM
NPI
1104315985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
JOHNNY RAY IBARRA
110 E MESCALERO RD
ROSWELL, NM 88201-6542
Phone number: 575-755-2272
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Mailing Address
JOHNNY RAY IBARRA
110 E MESCALERO RD
ROSWELL, NM 88201-6542
Phone number: 575-755-2272
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