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1154968188
CASEY QUINN L IBARRA
SAN JOSE, CA
NPI
1154968188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN702445)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
CASEY QUINN L IBARRA LVN
950 W JULIAN ST
SAN JOSE, CA 95126-2719
Phone number: 408-292-9353
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Mailing Address
CASEY QUINN L IBARRA LVN
32364 PAYNE ST
HAYWARD, CA 94544-8166
Phone number:
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