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1558652420
MICHAEL THOMAS IBARRA
SANTA FE, NM
NPI
1558652420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-04-27
Last Update Date
2011-04-27
Business Address
-- MICHAEL THOMAS IBARRA
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-5006
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Mailing Address
-- MICHAEL THOMAS IBARRA
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006
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