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Individual

SAUDISARETH IBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
595 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-2536
Mailing address
PO BOX 369, ECHO, OR 97826-0369
(541) 571-7633

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/24/2016
Last updated
02/24/2016
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