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1194325266
JESUS ROLANDO IBARRA
AUSTIN, TX
NPI
1194325266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA14007)
Enumeration Date
2020-10-28
Last Update Date
2022-06-07
Business Address
Mr. JESUS ROLANDO IBARRA PA-C
911 W 38TH ST STE 200
AUSTIN, TX 78705-1107
Phone number: 512-451-7935
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Mailing Address
Mr. JESUS ROLANDO IBARRA PA-C
19600 SERENITY LN
LAGO VISTA, TX 78645-2189
Phone number: 850-291-9591
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