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1841451648
LISA MARIE IBANEZ
PICO RIVERA, CA
NPI
1841451648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2008-06-24
Last Update Date
2008-06-24
Business Address
-- LISA MARIE IBANEZ
8735 CARRON DR
PICO RIVERA, CA 90660-3448
Phone number: 562-692-0383
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Mailing Address
-- LISA MARIE IBANEZ
8735 CARRON DR
PICO RIVERA, CA 90660-3448
Phone number: 562-692-0383
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