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1427341494
MARIO ANTONIO IBARRA
HURLBURT FIELD, FL
NPI
1427341494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2011-05-24
Last Update Date
2011-10-26
Business Address
-- MARIO ANTONIO IBARRA
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 228-233-7997
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Mailing Address
-- MARIO ANTONIO IBARRA
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 228-233-7997
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