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1578050522
JULIO JOSE IBARRA
FORT WORTH, TX
NPI
1578050522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-04-16
Last Update Date
2018-04-16
Business Address
JULIO JOSE IBARRA
1201 WESLEYAN ST # 483
FORT WORTH, TX 76105-1536
Phone number: 332-310-4241
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Mailing Address
JULIO JOSE IBARRA
1201 WESLEYAN ST # 483
FORT WORTH, TX 76105-1536
Phone number:
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