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1710961081
PEDRO H IBARRA-PEROCIER
WAGNER, SD
NPI
1710961081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: PR 14413)
Enumeration Date
2005-12-01
Last Update Date
2011-10-24
Business Address
Dr. PEDRO H IBARRA-PEROCIER M.D.
111 WASHINGTON AVE NW
WAGNER, SD 57380-4300
Phone number: 605-384-3621
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Mailing Address
Dr. PEDRO H IBARRA-PEROCIER M.D.
111 WASHINGTON AVE NW
WAGNER, SD 57380-4300
Phone number: 605-384-3621
Copy
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