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1548831746
JESSICA NICOLE IBE
SANTA ANA, CA
NPI
1548831746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14778RAC)
Enumeration Date
2021-07-08
Last Update Date
2021-07-14
Business Address
JESSICA NICOLE IBE
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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Mailing Address
JESSICA NICOLE IBE
320 TANNEHILL DR
MANTECA, CA 95337-8707
Phone number:
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