LUIS R IBARRA

FORT CAMPBELL, KY
NPI1740759257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: WA  RN00144561)
Enumeration Date2018-11-14
Last Update Date2019-01-28
Business Address
Mr. LUIS R IBARRA RN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8823
Mailing Address
Mr. LUIS R IBARRA RN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8823
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