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1629695440
KELLEY IBARRA
MODESTO, CA
NPI
1629695440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95014395)
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
KELLEY IBARRA FNP
1613 CELESTE DR
MODESTO, CA 95355-5039
Phone number: 209-497-3514
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Mailing Address
KELLEY IBARRA FNP
1613 CELESTE DR
MODESTO, CA 95355-5039
Phone number: 209-497-3514
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