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1336416874
JUAN G IBARRA
SAN FRANCISCO, CA
NPI
1336416874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2011-11-29
Last Update Date
2011-11-29
Business Address
-- JUAN G IBARRA
1380 HOWARD ST FL 4
SAN FRANCISCO, CA 94103-2651
Phone number: 415-255-3693
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Mailing Address
-- JUAN G IBARRA
10 MOSS AVE APT 39
OAKLAND, CA 94610-1324
Phone number:
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