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1679344295
JONATHAN IBANEZ
LOMA LINDA, CA
NPI
1679344295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA EL7105)
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
JONATHAN IBANEZ DPM
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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Mailing Address
JONATHAN IBANEZ DPM
71 N CENTER ST
REDLANDS, CA 92373-8174
Phone number:
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