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1346296795
MARIA D IBACH
RALEIGH, NC
NPI
1346296795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103988)
Enumeration Date
2006-05-26
Last Update Date
2013-04-09
Business Address
-- MARIA D IBACH PA
10941 RAVEN RIDGE RD STE 105
RALEIGH, NC 27614-6487
Phone number: 919-235-0543
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Mailing Address
-- MARIA D IBACH PA
5400 TRINITY RD STE 105
RALEIGH, NC 27607-6001
Phone number: 919-851-2174
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