Individual
MR. AUGUSTINE IRABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 M ST, CORRECTIONAL HEALTH, 2ND FLOOR, FRESNO, CA 93721-1805
(559) 442-2404
(559) 444-2527
Mailing address
PO BOX 11867, CORRECTIONAL HEALTH DIVISION, FRESNO, CA 93775-1867
(559) 445-3249
(559) 445-3370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
694851
CA
Other
Enumeration date
12/19/2007
Last updated
06/04/2010
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