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1891355798
BEAIVANA IBARRA
LOS ANGELES, CA
NPI
1891355798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 95011959)
Enumeration Date
2019-06-13
Last Update Date
2021-12-08
Business Address
BEAIVANA IBARRA FNP
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
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Mailing Address
BEAIVANA IBARRA FNP
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
Copy
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