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1720542509
HERODINA IBANEZ LU
DAYTON, OH
NPI
1720542509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.005687RX)
Enumeration Date
2019-01-25
Last Update Date
2024-05-08
Business Address
HERODINA IBANEZ LU PA-C
1 ELIZABETH PL STE 100
DAYTON, OH 45417-3445
Phone number: 937-723-7230
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Mailing Address
HERODINA IBANEZ LU PA-C
960 HEATHSHIRE DR
CENTERVILLE, OH 45459-2320
Phone number:
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