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1619467958
SUSAN LUCILLE IBARRA
MORENO VALLEY, CA
NPI
1619467958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA F1196099)
Enumeration Date
2018-05-12
Last Update Date
2018-09-26
Business Address
SUSAN LUCILLE IBARRA
26624 SAFFRON CIR
MORENO VALLEY, CA 92555-3834
Phone number: 951-485-0423
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Mailing Address
SUSAN LUCILLE IBARRA
26624 SAFFRON CIR
MORENO VALLEY, CA 92555-3834
Phone number: 951-485-0423
Copy
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