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1104698943
ALICIA DAISY IBARRA
SACRAMENTO, CA
NPI
1104698943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-10-25
Last Update Date
2024-11-07
Business Address
ALICIA DAISY IBARRA
2750 SUTTERVILLE RD
SACRAMENTO, CA 95820-1093
Phone number: 916-290-8208
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Mailing Address
ALICIA DAISY IBARRA
2750 SUTTERVILLE RD
SACRAMENTO, CA 95820-1093
Phone number: 916-290-8208
Copy
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