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1851069157
VINCENT ALBERTO IBARRA
LOS ANGELES, CA
NPI
1851069157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
VINCENT ALBERTO IBARRA
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 310-631-8004
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Mailing Address
VINCENT ALBERTO IBARRA
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 310-631-8004
Copy
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