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1912458597
ANALIS MERCED IBARRA
SANTA ROSA, CA
NPI
1912458597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- ANALIS MERCED IBARRA
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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Mailing Address
-- ANALIS MERCED IBARRA
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
Copy
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