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1356178743
MITZI MELAINE IBARRA
FORT MYERS, FL
NPI
1356178743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9107877)
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
MITZI MELAINE IBARRA
4961 ROYAL GULF CIR
FORT MYERS, FL 33966-7006
Phone number: 239-687-4015
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Mailing Address
MITZI MELAINE IBARRA
4961 ROYAL GULF CIR
FORT MYERS, FL 33966-7006
Phone number:
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