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1952990913
LISA R IBARRA
SAN ANTONIO, TX
NPI
1952990913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 318181)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
LISA R IBARRA
3230 S LOOP 1604 E LOT E4
SAN ANTONIO, TX 78264-9647
Phone number: 210-993-7502
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Mailing Address
LISA R IBARRA
3230 S LOOP 1604 E LOT E4
SAN ANTONIO, TX 78264-9647
Phone number: 210-993-7502
Copy
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