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1548362494
ISMAEL OMAR URBINA
ONTARIO, CA
NPI
1548362494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 24945)
Enumeration Date
2006-09-02
Last Update Date
2024-03-22
Business Address
Mr. ISMAEL OMAR URBINA LCSW
1556 S SULTANA AVE
ONTARIO, CA 91761-4238
Phone number: 909-418-6923
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Mailing Address
Mr. ISMAEL OMAR URBINA LCSW
12698 WILLOWBROOK LN
MORENO VALLEY, CA 92555-3509
Phone number:
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