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1548025570
OMAR IBARRA
UKIAH, CA
NPI
1548025570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA64594)
Enumeration Date
2024-02-19
Last Update Date
2024-07-24
Business Address
OMAR IBARRA
333 LAWS AVE
UKIAH, CA 95482-6540
Phone number: 707-468-1010
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Mailing Address
OMAR IBARRA
8670 FELIZ CREEK DR
UKIAH, CA 95482-9361
Phone number: 773-946-9991
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