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1558945097
MARK ANTHONY IBARRA
WAUKEGAN, IL
NPI
1558945097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
MARK ANTHONY IBARRA
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-204-5108
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Mailing Address
MARK ANTHONY IBARRA
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-204-5108
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