GABRIEL MARTIN IBARRA

CANTON, MS
NPI1518521145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2019-04-29
Last Update Date2019-04-29
Business Address
GABRIEL MARTIN IBARRA PA
112 SOUTHLAKE CIR
CANTON, MS 39046-5368
Phone number: 601-859-8550
Mailing Address
GABRIEL MARTIN IBARRA PA
112 SOUTHLAKE CIR
CANTON, MS 39046-5368
Phone number: 601-859-8550
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