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1336868165
NICOLAS IBARRA
SAN DIEGO, CA
NPI
1336868165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
NICOLAS IBARRA
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-232-4357
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Mailing Address
NICOLAS IBARRA
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 530-204-8953
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