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1619599206
MARICELA IBARRA
ADDISON, IL
NPI
1619599206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: IL 17100725)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
MARICELA IBARRA
1111 W LAKE ST
ADDISON, IL 60101-1101
Phone number: 630-221-4739
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Mailing Address
MARICELA IBARRA
111 N COUNTY FARM RD
WHEATON, IL 60187-3988
Phone number: 630-221-4739
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