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1548784689
MIREYA MORENO IBARRA
THE DALLES, OR
NPI
1548784689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-07-31
Last Update Date
2024-01-30
Business Address
MIREYA MORENO IBARRA
3729 KLINDT DR
THE DALLES, OR 97058-3566
Phone number: 541-298-2101
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Mailing Address
MIREYA MORENO IBARRA
401 E 3RD ST STE 101
THE DALLES, OR 97058-2563
Phone number: 541-298-2101
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