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1417659517
LAURA DIANEY IBANEZ
BRIDGEPORT, CT
NPI
1417659517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
Dr. LAURA DIANEY IBANEZ MD
267 GRANT ST
BRIDGEPORT, CT 06610-2870
Phone number: 203-384-4442
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Mailing Address
Dr. LAURA DIANEY IBANEZ MD
267 GRANT ST MED ED PODIUM 4
BRIDGEPORT, CT 06610-2870
Phone number: 203-384-4442
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