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1225607674
VENITA KATHLEEN IBARRA
VISTA, CA
NPI
1225607674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1299450318)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
VENITA KATHLEEN IBARRA RADT1
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
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Mailing Address
VENITA KATHLEEN IBARRA RADT1
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
Copy
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