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1891257176
LISSETTE RUIZ IBARRA
PHOENIX, AZ
NPI
1891257176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-04
Last Update Date
2020-07-01
Business Address
LISSETTE RUIZ IBARRA
420 W WATKINS RD
PHOENIX, AZ 85003-2830
Phone number: 602-254-3338
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Mailing Address
LISSETTE RUIZ IBARRA
420 W. WATCKINS RD
PHOENIX, AZ 85003
Phone number:
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