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1114957289
MARTHA ASUNCION IBARRA
SAN DIEGO, CA
NPI
1114957289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP12112)
Enumeration Date
2006-07-04
Last Update Date
2012-10-09
Business Address
MARTHA ASUNCION IBARRA
4290 POLK AVE
SAN DIEGO, CA 92105-1524
Phone number: 619-563-0507
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Mailing Address
MARTHA ASUNCION IBARRA
4290 POLK AVE
SAN DIEGO, CA 92105-1524
Phone number: 619-563-0507
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