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1790488971
FERNANDO HENRIQUE IBANHES
LOS ANGELES, CA
NPI
1790488971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
Dr. FERNANDO HENRIQUE IBANHES MD, MS
1200 N STATE ST CT A4E
LOS ANGELES, CA 90089-1001
Phone number: 323-409-4535
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Mailing Address
Dr. FERNANDO HENRIQUE IBANHES MD, MS
1200 N STATE ST CT A4E
LOS ANGELES, CA 90089-1001
Phone number: 323-409-4535
Copy
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