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1851171904
KELLY O IBARRA
LOS ANGELES, CA
NPI
1851171904
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Former Name
KELLY O HERNANDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
KELLY O IBARRA BA
3787 S VERMONT AVE
LOS ANGELES, CA 90007-4203
Phone number: 213-766-2345
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Mailing Address
KELLY O IBARRA BA
3031 S VERMONT AVE
LOS ANGELES, CA 90007-3033
Phone number: 323-373-2400
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