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1285289462
STEPHANIE LAURETA IBARRA
LONG BEACH, CA
NPI
1285289462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
STEPHANIE LAURETA IBARRA
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 510-378-3814
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Mailing Address
STEPHANIE LAURETA IBARRA
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 510-378-3814
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