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1992457907
KATHLAINE CIRIACO IBANEZ
SAN DIEGO, CA
NPI
1992457907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 699250)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
KATHLAINE CIRIACO IBANEZ
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-615-0439
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Mailing Address
KATHLAINE CIRIACO IBANEZ
600 B ST # 1520
SAN DIEGO, CA 92101-4501
Phone number: 619-615-0439
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