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1366808792
IGNACIO IXTA
OXNARD, CA
NPI
1366808792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-14
Last Update Date
2022-06-07
Business Address
IGNACIO IXTA
3101 S A ST
OXNARD, CA 93033-5211
Phone number: 480-298-9040
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Mailing Address
IGNACIO IXTA
925 TAYLOR LN
FILLMORE, CA 93015-1056
Phone number: 480-298-9040
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