JOHN J IBANEZ

DANVILLE, KY
NPI1770580250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA405)
Enumeration Date2005-06-30
Last Update Date2007-10-16
Business Address
JOHN J IBANEZ PA
1250 BEN ALI DR
DANVILLE, KY 40422-8937
Phone number: 859-236-6621
Mailing Address
JOHN J IBANEZ PA
1250 BEN ALI DR
DANVILLE, KY 40422-8937
Phone number: 859-236-6621
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